Organization
BEAVER VALLEY HOSPITAL
Active
Other names
Provo Rehabilitation Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (DELEGATED OFFICIAL)
(949) 540-1249
Entity
Organization
Contact information
Practice address
1001 N 500 W, PROVO, UT 84604-3305
(801) 377-9661
(801) 377-9747
Mailing address
1001 N 500 W, PROVO, UT 84604-3305
(801) 377-9661
(801) 377-9747
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
12/29/2017
Last updated
06/28/2024
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