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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