| NPI | 1215398615 |
|---|---|
| Former Legal Business Name | REDWOOD PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | JACOB DANIEL EREKSON Physical Therapist/Clinic Director 801-904-3089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 7376354-2401) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |