Organization
INTERMOUNTAIN HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA HALLSTROM PT (PHYSICAL THERAPIST)
(801) 408-1100
Entity
Organization
Contact information
Practice address
8 TH AVE & C ST, SALT LAKE CITY, UT 84143-0001
(801) 408-1100
Mailing address
8 TH AVE & C ST, SALT LAKE CITY, UT 84143-0001
(801) 408-1100
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
27556-2401
UT
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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