Organization
CORE REHABILITATION AND SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE ACEVEDO MS, PT, CERT MDT (DIRECTOR)
(801) 979-4722
Entity
Organization
Contact information
Practice address
4885 S 900 E, SUITE 107, SALT LAKE CITY, UT 84117-5746
(801) 979-4722
Mailing address
4885 S 900 E, SUITE 107, SALT LAKE CITY, UT 84117-5746
(801) 979-4722
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
6002870-0160
UT
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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