| NPI | 1073345617 |
|---|---|
| Doing Business As | JULIE WALDO |
| Entity Type | Organization |
| Authorized Contact | JULIE LYNN WALDO Clinic Manager 801-641-4661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |