Organization
THE DR. DALE B. HULL FOUNDATION FOR NEUROLOGICAL REHABILITATION, INC.
Active
Organization
THE DR. DALE B. HULL FOUNDATION FOR NEUROLOGICAL REHABILITATION, INC.
Active
Other names
Neuroworx
Organization subpart
No
Provider details
NPI number
Authorized official
JAN BLACK MSPT (DIRECTOR)
(801) 619-3670
Entity
Organization
Contact information
Practice address
90 W ALBION VILLAGE WAY, SANDY, UT 84070-4013
(801) 619-3670
(801) 619-3679
Mailing address
90 W ALBION VILLAGE WAY, SANDY, UT 84070-4013
(801) 619-3670
(801) 619-3679
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
120890-2401
UT
2251N0400X
Neurology Physical Therapist
352686-2401
UT
225X00000X
Occupational Therapist
801-479-0601
UT
Other
Enumeration date
08/16/2007
Last updated
04/13/2020
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