| NPI | 1881738904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DOUCETTE Owner 435-752-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 1162582401) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |