Organization
BONNEVILLE PELVIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAILEE BURNINGHAM DPT (OWNER, PHYSICAL THERAPIST)
(801) 510-1319
Entity
Organization
Contact information
Practice address
1220 28TH ST, OGDEN, UT 84403-0319
(801) 510-1319
Mailing address
1220 28TH ST, OGDEN, UT 84403-0319
(801) 510-1319
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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