| NPI | 1578134300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL STANISLAW Owner/Physical Therapist 435-901-3272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2021-07-02 |