| NPI | 1417405952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN E ROBBINS Owner 801-571-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 5401450-2401) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: UT 5401450-2401) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2017-03-30 |