| NPI | 1346896842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVERY R LARSEN CEO 801-636-8106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |