| NPI | 1669839700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN JENSEN Physical Therapist 801-766-2088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: UT 9617241-4102) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |