| NPI | 1902012727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL GEHRKE Office Manager 801-565-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: UT 104671-1204) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |