| NPI | 1497040869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL J DELONG Occupational Therapist/ Owner 801-773-2633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2019-03-19 |