Healthcare Provider Details

I. General information

NPI: 1194865212
Provider Name (Legal Business Name): ONE STEP BEYOND, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 10/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 SANDS LANE
SANTA FE NM
87507-9641
US

IV. Provider business mailing address

21 SANDS LANE
SANTA FE NM
87507-9641
US

V. Phone/Fax

Practice location:
  • Phone: 505-438-2960
  • Fax: 505-438-2960
Mailing address:
  • Phone: 505-438-2960
  • Fax: 505-438-2960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: IRENE PLUIMMENTZ
Title or Position: TREASURER
Credential: PT
Phone: 505-438-2960