Organization
MAYA OSTLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAREN COOPER MPT MBA (DIRECTOR OF PHYSICAL THERAPY)
(801) 408-2516
Entity
Organization
Contact information
Practice address
1235 S 400 E, BOUNTIFUL, UT 84010-3905
(801) 294-0475
Mailing address
1235 S 400 E, BOUTIFUL, UT 84010
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2645533204
UT
Other
Enumeration date
02/25/2013
Last updated
04/06/2013
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