| NPI | 1245425750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI JONES Mananger 801-357-2725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: UT 5405900-1205) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |