| NPI | 1174338172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW PAUL WOOD President 801-450-6940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2025-02-08 |
| Last Update Date | 2025-02-08 |