| NPI | 1265794333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JOHN ABERTON President/Owner 801-244-1292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 118804-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 118791-2401) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |