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Organization
PREVAIL STROKE AND NEURO REHAB, LLC
Active
Organization
PREVAIL STROKE AND NEURO REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN HERBERT KINZINGER DPT (PHYSICAL THERAPIST)
(801) 860-3237
Entity
Organization
Contact information
Practice address
1910 E 3060 S, SALT LAKE CITY, UT 84106-3932
(801) 860-3237
Mailing address
1910 E 3060 S, SALT LAKE CITY, UT 84106-3932
(801) 860-3237
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
2251C2600X
Cardiopulmonary Physical Therapist
—
NULL
2251C2600X
Cardiopulmonary Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
NULL
2251N0400X
Neurology Physical Therapist
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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