# WESTWOOD PHYSICAL THERAPY CLINIC

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

## Provider details

- **NPI number:** 1851324826
- **Authorized official:** MR. FREDERICK L HOBUSCH PT (PRES CO-OWNER PHYSICAL THERAPIST)
- **Authorized official phone:** (801) 967-6055

## Contact information

- **Practice address:** 5547 SO 4015 W, \#7, TAYLORSVILLE, UT 84129-4429
- **Practice address phone:** (801) 967-6055
- **Practice address fax:** (801) 967-6934
- **Mailing address:** 5547 S 4015 W, \#7, TAYLORSVILLE, UT 84129-4437
- **Mailing address phone:** (801) 967-6055
- **Mailing address fax:** (801) 967-6934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | W97642R6213 | UT | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 08/03/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 190100500 | OWCR | UT |
| 05 | — | 999000139002 | — | UT |
| 01 | — | QM0000076206 | ALTIUS | UT |
