# PROREHAB PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437175403
- **Authorized official:** JEFFREY N OHLWILER MPT (OWNER)
- **Authorized official phone:** (435) 613-1500

## Contact information

- **Practice address:** 590 E 100 N, SUITE 1, PRICE, UT 84501-2640
- **Practice address phone:** (435) 613-1500
- **Practice address fax:** (435) 613-1501
- **Mailing address:** PO BOX 933, PRICE, UT 84501-0933
- **Mailing address phone:** (435) 613-1500
- **Mailing address fax:** (435) 613-1501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 4932238-2401 | UT | Yes |
| 225X00000X | Occupational Therapist | 352637-2401 | UT | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 4932238-2401 | UT | — |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 05/12/2015