| NPI | 1982863999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA JEANNE BURCIAGA President 505-718-8309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NM 3283) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2020-04-07 |