| NPI | 1255493672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A. ANDERSON President Owner 801-942-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2010-11-16 |