| NPI | 1023298999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL J DELONG Owner 801-773-2633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: UT 6717526-4201) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2008-11-17 |