| NPI | 1699947309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CHARLES WALKER President/Owner 801-787-0484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 114536-2401) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |