| NPI | 1861274383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRIE GARDUNO Practice Manager 435-319-8371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 225100000X Physical Therapist | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-31 |