| NPI | 1568188852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON FREDIC JONES Business Administrator 801-505-0820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-10-18 |