Organization
SW REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WILLMORE PT, CWS (PHYSICAL THERAPY DIRECTOR)
(435) 623-3045
Entity
Organization
Contact information
Practice address
48 W 1500 N, NEPHI, UT 84648-8900
(435) 623-3045
(435) 623-6046
Mailing address
48 W 1500 N, NEPHI, UT 84648-8900
(435) 623-3045
(435) 623-6046
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
77405642401
UT
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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