| NPI | 1295502029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN HERBERT KINZINGER Physical Therapist 801-860-3237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251C2600X |
| 2251N0400X Physical Therapist, Neurology | |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2023-12-12 |