| NPI | 1407982630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD B. FULLMER Vice President 801-635-6602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2011-12-23 |