| NPI | 1053478826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE STOWE Office Manager 801-756-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 119421-2401) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 120093-2401) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2012-10-31 |