Organization
LIFESKILLS PHYSICAL THERAPY AND REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT O BACHICHA PT (OWNER AND SERVICE PROVIDER)
(505) 470-2082
Entity
Organization
Contact information
Practice address
4152 SOARING EAGLE LN, SANTA FE, NM 87507-0817
(505) 470-2082
(505) 473-3100
Mailing address
4152 SOARING EAGLE LN, SANTA FE, NM 87507-0817
(505) 470-2082
(505) 473-3100
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2606
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000D4583
—
NM
Enumeration date
01/07/2007
Last updated
08/22/2020
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