Organization
MOAB PHYSICAL THERAPY AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA GRACE COWERN D.P.T. (PHYSCIAL THERAPIST)
(435) 210-1985
Entity
Organization
Contact information
Practice address
131 E 100 S, MOAB, UT 84532-2641
(435) 210-1985
(435) 355-0410
Mailing address
131 E 100 S, MOAB, UT 84532-2641
(435) 210-1985
(435) 355-0410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8212548-2401
UT
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NO ADDITIONAL NUMBER TO ENTER
—
Enumeration date
08/27/2013
Last updated
05/24/2021
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