| NPI | 1316331523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA LOUISE MECHAM Physical Therapist 801-404-3402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 9249039-2401) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |