| NPI | 1346898566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARISSA CARINO CELESTINO Physical Therapist/Owner 801-252-6995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |