| NPI | 1548536725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDIGH GOOCH President 801-750-6933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: UT 1754861205) |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2012-04-01 |