| NPI | 1649704032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SARCHENKO Physician 801-784-7104 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: UT 8547239-1202) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |