NPI | 1932398146 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES DALKYU PARK Business Owner 505-514-2900 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 2074) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 866RX1) |
Enumeration Date | 2007-10-24 |
Last Update Date | 2011-10-27 |