SW Brian Integration Therapy & Rehab LLC
NPI #1588973077 in Rio Rancho, New Mexico
Provider Information
- NPI Number
- 1588973077
- Entity Type
- Organization
- Organization Name
- SW Brian Integration Therapy & Rehab LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 30, 2010
- Last Updated
- Sep 30, 2010
Practice Location
- Address
- 1005 21 ST. SE
- Address 2
- SUITE # 4
- City
- Rio Rancho
- State
- New Mexico
- ZIP Code
- 87124
- Phone
- (505) 239-9644
Authorized Official
- Name
- STAR AMBER RIDSDALE
- Title
- OWNER
- Phone
- (505) 239-9644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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