# LIFESKILLS PHYSICAL THERAPY AND REHABILITATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952459158
- **Authorized official:** MR. ROBERT O BACHICHA PT (OWNER AND SERVICE PROVIDER)
- **Authorized official phone:** (505) 470-2082

## Contact information

- **Practice address:** 4152 SOARING EAGLE LN, SANTA FE, NM 87507-0817
- **Practice address phone:** (505) 470-2082
- **Practice address fax:** (505) 473-3100
- **Mailing address:** 4152 SOARING EAGLE LN, SANTA FE, NM 87507-0817
- **Mailing address phone:** (505) 470-2082
- **Mailing address fax:** (505) 473-3100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 2606 | NM | Yes |

## Other

- **Enumeration date:** 01/07/2007
- **Last updated:** 08/22/2020
