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Organization
WESTERN SUMMIT REHABILITATION LLC
Active
Organization
WESTERN SUMMIT REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM CLAYTON WATSON PT (OWNER)
(801) 673-2910
Entity
Organization
Contact information
Practice address
2155 E PANORAMA WAY, SALT LAKE CITY, UT 84124-2816
(801) 716-2289
(801) 716-2290
Mailing address
2155 E PANORAMA WAY, SALT LAKE CITY, UT 84124-2816
(801) 716-2289
(801) 716-2290
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
Primary
—
UT
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
UT
332B00000X
Durable Medical Equipment & Medical Supplies
2012-HHA-91251
UT
Other
Enumeration date
09/23/2009
Last updated
07/21/2022
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