NPI | 1073542999 |
---|---|
Doing Business As | MCCLEAN CLINIC |
Entity Type | Organization |
Authorized Contact | MATTHEW MCCLEAN Facility Manager 801-373-1035 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 6136198-2401) |
Enumeration Date | 2006-07-02 |
Last Update Date | 2020-08-22 |