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Organization
MLMS SALT LAKE CLINIC LC
Active
Organization
MLMS SALT LAKE CLINIC LC
Active
Other names
Mountain Land Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANDERSON PT (PRESIDENT)
(801) 942-3311
Entity
Organization
Contact information
Practice address
1153 E 3900 S, SALT LAKE CITY, UT 84124
(801) 262-6331
(801) 262-3372
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171
(801) 942-3311
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/24/2006
Last updated
09/11/2025
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