| NPI | 1386036077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON G PETERSON Sole Member 801-598-8337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: ID M-12132) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-06 |