Organization
INTERMOUNTAIN HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM DIBBLEE DPT (DPT, CLINIC MANAGER)
(801) 285-3400
Entity
Organization
Contact information
Practice address
3741 W 12600 S, RIVERTON, UT 84065-7215
(801) 285-3400
Mailing address
3741 W 12600 S, RIVERTON, UT 84065-7215
(801) 285-3400
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
9811303-8016
UT
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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