| NPI | 1063438620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GURRISTER Owner 801-308-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 110090-4102) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |