| NPI | 1356891899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL MANWILL Owner 801-390-4947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: UT 314601-4201) |
| Enumeration Date | 2016-10-08 |
| Last Update Date | 2016-10-08 |