Organization
PROREHAB PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY N OHLWILER MPT (OWNER)
(435) 613-1500
Entity
Organization
Contact information
Practice address
590 E 100 N, SUITE 1, PRICE, UT 84501-2640
(435) 613-1500
(435) 613-1501
Mailing address
PO BOX 933, PRICE, UT 84501-0933
(435) 613-1500
(435) 613-1501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4932238-2401
UT
225X00000X
Occupational Therapist
352637-2401
UT
332B00000X
Durable Medical Equipment & Medical Supplies
4932238-2401
UT
Other
Enumeration date
07/14/2006
Last updated
05/12/2015
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