| NPI | 1346635851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX J BROUGHTON Owner 801-704-9405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 7650433-2401) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-06-11 |