NPI | 1316681109 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW EDWARD OAKDEN Owner 801-503-7310 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2022-04-26 |
Last Update Date | 2022-04-26 |