Organization
PREVENT INC.
Active
Other names
Lynn A. Maguire P.T.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN ANNE MAGUIRE P.T. (OWNER)
(702) 378-5338
Entity
Organization
Contact information
Practice address
791 SOUTH LAKE SHORE DR., SUITE 676, PANGUITCH, UT 84759-0676
(702) 378-5338
(435) 676-2000
Mailing address
791 SOUTH LAKE SHORE DR., PO BOX 676, PANGUITCH, UT 84759-0676
(702) 378-5338
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
70722582401
UT
261QP2000X
Physical Therapy Clinic/Center
Primary
7072258-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7072258-2401
PHYSICAL THERAPY LICENSE #
UT
Enumeration date
07/16/2009
Last updated
07/16/2009
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