Organization
FORWARD REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLY BROOKS PT, DPT (OWNER)
(206) 795-4360
Entity
Organization
Contact information
Practice address
2100 PARK AVE # 683745, PARK CITY, UT 84060-8100
(206) 795-4360
Mailing address
PO BOX 683745, PARK CITY, UT 84068-3745
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
01/19/2021
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