| NPI | 1891129821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA GRACE COWERN Physcial Therapist 435-210-1985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 8212548-2401) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2021-05-24 |