| NPI | 1679710412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN KELLER Office Manager 801-387-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |