NPI | 1699009696 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM CLAYTON WATSON Owner 801-673-2910 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 2012-HHA-91251) | |
Enumeration Date | 2009-09-23 |
Last Update Date | 2022-07-21 |