NPI | 1972713329 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT CHARLES BROZOWSKI President 801-264-6781 |
Organization Subpart ? | No |
Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: UT 472625532001) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2020-08-22 |