| NPI | 1114378288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM DIBBLEE D PT, Clinic Manager 801-285-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 9811303-8016) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |