Organization
BEAVER VALLEY HOSPITAL
Active
Other names
Mt. Ogden Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (SECRETARY OF MANAGEMENT COMPANY)
(949) 540-1249
Entity
Organization
Contact information
Practice address
375 E 5350 S, WASHINGTON TERRACE, UT 84405-6934
(801) 479-5700
Mailing address
375 E 5350 S, WASHINGTON TERRACE, UT 84405-6934
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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