| NPI | 1245425321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | METTE HANSEN President 435-628-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: UT 575311-1205) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2010-03-17 |