Organization
BRIGHTON REHABILITATION AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES RANDY KIRTON (OWNER)
(801) 532-4120
Entity
Organization
Contact information
Practice address
206 N 2100 W, SALT LAKE CITY, UT 84116-4740
(801) 532-4120
Mailing address
206 N 2100 W, SALT LAKE CITY, UT 84116-4740
(801) 532-4120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/19/2012
Last updated
11/25/2015
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