SW BRIAN INTEGRATION THERAPY & REHAB LLC NPI 1588973077

NPI Information

SW BRIAN INTEGRATION THERAPY & REHAB LLC is a specialist in Rio Rancho, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SW BRIAN INTEGRATION THERAPY & REHAB LLC NPI is 1588973077. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1005 21 ST. SE
SUITE # 4
RIO RANCHO, NM
ZIP 87124
Phone: (505) 239-9644
Fax: (505) 896-2958

The provider's authorized official is Star Amber Ridsdale .
The authorized official title is Owner and has the following contact phone number (505) 239-9644.

The enumeration date for this NPI number is 9/30/2010 and was last updated on 9/30/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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