| NPI | 1013958479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DELOYQ ROBERTS CEO 801-599-6412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: UT 4734414-2401) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |