| NPI | 1851521090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIA HANSEN Administrative Assistant 801-432-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 1219692401) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |