| NPI | 1235330135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN DIXON Clinic Manager 801-583-5692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 20050584) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2012-07-19 |