| NPI | 1013355932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN VAWTER Administrator 801-388-7745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX N9717) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2021-02-22 |