Provider First Line Business Practice Location Address:
1875 S GENEVA RD
Provider Second Line Business Practice Location Address:
OUTPATIENT REHAB
Provider Business Practice Location Address City Name:
OREM
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84058-2217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-995-8154
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/07/2011