| NPI | 1952630832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAYNE A. HERMANSEN Owner 801-542-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: UT 5831697-1204) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2009-12-23 |