Organization
UNIVERSITY OF UTAH REHABILITATION AND WELLNESS PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES GRAYBILL PT (DEPT CHAIR)
(801) 587-6470
Entity
Organization
Contact information
Practice address
520 WAKARA WAY, SLC, UT 84108-1213
(801) 585-2119
Mailing address
PO BOX 581002, SLC, UT 84158-1002
(801) 213-3800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251H1200X
Hand Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
Other
Enumeration date
09/20/2006
Last updated
09/07/2011
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