Organization
WESTWOOD PHYSICAL THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK L HOBUSCH PT (PRES CO-OWNER PHYSICAL THERAPIST)
(801) 967-6055
Entity
Organization
Contact information
Practice address
5547 SO 4015 W, #7, TAYLORSVILLE, UT 84129-4429
(801) 967-6055
(801) 967-6934
Mailing address
5547 S 4015 W, #7, TAYLORSVILLE, UT 84129-4437
(801) 967-6055
(801) 967-6934
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
W97642R6213
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190100500
OWCR
UT
05
—
999000139002
—
UT
01
—
QM0000076206
ALTIUS
UT
Enumeration date
07/10/2006
Last updated
08/03/2011
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