| NPI | 1831745975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA JENSEN Office/Billing Manager 801-866-9766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2021-01-13 |