| NPI | 1730254319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WAYNE BRAMALL CEO 435-652-4205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2022-07-21 |