| NPI | 1427458256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRIN M HURDSMAN Manager 435-414-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2015-02-24 |