Organization
INSPIRATIONS EARLY INTERVENTION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN MARIE GRIMM LUCERO P.T. (PRESIDENT/CHIEF EXECUTIVE OFFICER)
(505) 550-2643
Entity
Organization
Contact information
Practice address
7010 PHOENIX AVE NE, SUITE 709, ALBUQUERQUE, NM 87110-3548
(505) 550-2643
Mailing address
7010 PHOENIX AVE NE, SUITE 709, ALBUQUERQUE, NM 87110-3548
(505) 550-2643
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235
PHYSICAL THERAPIST LICENSE
NM
Enumeration date
05/12/2009
Last updated
10/20/2013
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