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 |