| NPI | 1306864863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TY BERRETT COO 801-243-2406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: UT 313389-2401) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2019-06-14 |