| NPI | 1962557652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE GRONA HUSS Direct Owner 505-890-7481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 1020) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |