NPI | 1275731291 |
---|---|
Entity Type | Organization |
Authorized Contact | LOUIE DOYLE BURT Owner Member 435-229-9929 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 347017-2401) |
Enumeration Date | 2007-07-11 |
Last Update Date | 2007-07-11 |