| NPI | 1992123780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE M HENSON Occupational Therapist Assistant 575-626-0172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2014-03-31 |