NPI | 1336412733 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI NOVICH-WELTER Owner 435-792-9400 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: UT 5924248) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: ID M-10473) |
Enumeration Date | 2012-02-15 |
Last Update Date | 2014-01-16 |