| NPI | 1801283668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER J BRAVO Owner 801-941-2137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 7963402-2401) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-05-06 |