Organization
SUNSHINE KIDS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE JIRON DPT (PHYSICAL THERAPIST)
(505) 321-5371
Entity
Organization
Contact information
Practice address
325 S MAIN ST STE A, BELEN, NM 87002-3503
(505) 321-5371
Mailing address
412 VALLEJOS RD NE, LOS LUNAS, NM 87031-7774
(505) 321-5371
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
4515
NM
Other
Enumeration date
12/07/2017
Last updated
04/13/2018
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