| NPI | 1811247752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON JAMES HENRIE Owner/Manager 801-489-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 8368374-0164) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2013-01-02 |