NPI | 1366901704 |
---|---|
Entity Type | Organization |
Authorized Contact | TIM L JENSEN Owner 435-363-3732 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2019-03-15 |
Last Update Date | 2021-08-31 |