| NPI | 1124188388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS HOLMES MAW Athletic Trainer 435-716-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283X00000X Rehabilitation Hospital (Licence: UT 63229574810) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-06-19 |