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Organization
UNIVERSITY OF UTAH REHABILITATION AND WELLNESS PROGRAM
Active
Organization
UNIVERSITY OF UTAH REHABILITATION AND WELLNESS PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES GRAYBILL PT (DEPT CHAIR)
(801) 587-6470
Entity
Organization
Contact information
Practice address
520 WAKARA WAY, SLC, UT 84108-1213
(801) 585-2119
Mailing address
PO BOX 581002, SLC, UT 84158-1002
(801) 213-3800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
2251G0304X
Geriatric Physical Therapist
—
NULL
2251G0304X
Geriatric Physical Therapist
—
—
2251H1200X
Hand Physical Therapist
—
NULL
2251H1200X
Hand Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
NULL
2251S0007X
Sports Physical Therapist
—
—
Other
Enumeration date
09/20/2006
Last updated
09/07/2011
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