NPI | 1710347604 |
---|---|
Entity Type | Organization |
Authorized Contact | BOJAN JUROSEVIC Physical Therapist/Owner 801-386-6722 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 7987494-2401) |
Enumeration Date | 2016-03-04 |
Last Update Date | 2020-01-08 |