Organization
BEAVER VALLEY HOSPITAL
Active
Other names
St. Joseph Villa Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (SECRETARY OF MANAGEMENT COMPANY)
(949) 540-1249
Entity
Organization
Contact information
Practice address
451 E BISHOP FEDERAL LN, SALT LAKE CITY, UT 84115-2357
(801) 487-7557
(801) 487-1112
Mailing address
451 E BISHOP FEDERAL LN, SALT LAKE CITY, UT 84115-2357
(801) 487-7557
(801) 487-1112
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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