| NPI | 1285864744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON GARDNER Manager 801-918-4145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 361266-2401) |
| Enumeration Date | 2009-07-19 |
| Last Update Date | 2009-07-19 |