| NPI | 1104763051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL LANIER Principal 801-471-7340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 225100000X Physical Therapist | |
| 225XN1300X Occupational Therapist, Neurorehabilitation | |
| Enumeration Date | 2026-04-29 |
| Last Update Date | 2026-04-29 |