# MOAB PHYSICAL THERAPY AND REHABILITATION LLC

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

## Provider details

- **NPI number:** 1891129821
- **Authorized official:** RHONDA GRACE COWERN D.P.T. (PHYSCIAL THERAPIST)
- **Authorized official phone:** (435) 210-1985

## Contact information

- **Practice address:** 131 E 100 S, MOAB, UT 84532-2641
- **Practice address phone:** (435) 210-1985
- **Practice address fax:** (435) 355-0410
- **Mailing address:** 131 E 100 S, MOAB, UT 84532-2641
- **Mailing address phone:** (435) 210-1985
- **Mailing address fax:** (435) 355-0410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 8212548-2401 | UT | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/27/2013
- **Last updated:** 05/24/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0 | NO ADDITIONAL NUMBER TO ENTER | — |