| NPI | 1073261004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA DENTON PT 801-450-0736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-03-18 |