NPI | 1235168428 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY D FULLMER Physical Therapist/Owner 801-572-0690 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 23295) |
Enumeration Date | 2006-07-01 |
Last Update Date | 2020-08-22 |