| NPI | 1447974746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB D EREKSON Partner/Physical Therapist 801-210-0127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2022-09-29 |