| NPI | 1023155322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFFANIE HANSEN Billing Manager 435-753-1556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 2828354201) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 275801-2401) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-07-09 |