| NPI | 1043949696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK BAWDEN Owner 801-815-4105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 225XF0002X Occupational Therapist Feeding, Eating & Swallowing | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2022-06-30 |