| NPI | 1881195485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD F HOLT Owner 435-650-4106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 006708) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |