| NPI | 1992230957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE THOMAS Billing Director 801-921-5375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: UT 8806956-0160) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |