| NPI | 1609085885 |
|---|---|
| Doing Business As | BEAR LAKE PHYSICAL THERAPY - RANDOLPH |
| Entity Type | Organization |
| Authorized Contact | RUTHANN JARMAN Director 833-946-2777 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 351974-2401) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2025-08-13 |