| NPI | 1649490194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON GREGORY GARBER Owner 801-479-4471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 114257-2401) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2016-11-14 |