| NPI | 1801834700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L HOWARD QUACKENBUSH Physical Therapist President 435-864-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 285712-2401) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: UT 5530573-4201) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2013-09-12 |