| NPI | 1962688838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE CAROLYN POWELL Owner 435-755-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: UT 120344-2401) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-10 |