| NPI | 1407042583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DANIEL CERVANTEZ Owner/Physical Therapy 801-450-6427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 849822401) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |