| 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 |