| NPI | 1073342358 |
|---|---|
| Doing Business As | OPTIMAL WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK MONSON Owner 801-568-1598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-07-26 |