NPI | 1780007153 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN PHAKLIDES Owner 801-272-1522 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 78106132402) |
Enumeration Date | 2014-01-21 |
Last Update Date | 2014-01-21 |