| NPI | 1134461692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GARRETT EAGAR Owner 801-874-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: UT 2012-27753) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2013-03-22 |