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 Physical Therapist, Cardiopulmonary |
2251N0400X Physical Therapist, Neurology | |
Enumeration Date | 2023-12-12 |
Last Update Date | 2023-12-12 |