NPI | 1972679272 |
---|---|
Doing Business As | BEAR CANYON THERAPY ASSOCIATES |
Entity Type | Organization |
Authorized Contact | THOMAS STATON Owner, Clinical Director 505-823-2411 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 6761) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2024-12-27 |