Provider First Line Business Practice Location Address:
8074 SOUTH 1300 EAST
Provider Second Line Business Practice Location Address:
HEALTHSOUTH REHABILITATION HOSPITAL
Provider Business Practice Location Address City Name:
SALT LAKE CITY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84124
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-561-3400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/10/2012