| NPI | 1326305673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIE ELOVIC Owner 801-565-6739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: UT 7277536-1205) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |