| NPI | 1871946558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY DAVIS Owner 801-380-9724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NV 12-0188) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 1402) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |