| NPI | 1962575712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DK PARK Office Manager 505-514-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 2074) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 866Rx-1) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2012-03-28 |