| NPI | 1902813637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANDERSON President 801-942-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2016-08-03 |