Provider First Line Business Practice Location Address:
WOODLAND PARK REHABILITATION CENTER
Provider Second Line Business Practice Location Address:
3855 S 700 E
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:
84106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-270-2524
Provider Business Practice Location Address Fax Number:
801-281-9743
Provider Enumeration Date:
11/15/2006