| NPI | 1407325467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PETERSEN Director Of Quality Assurance 801-707-1797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2025-09-03 |