Provider First Line Business Practice Location Address:
10543 S 2330 W
Provider Second Line Business Practice Location Address:
HIDDEN COVE PHYSICAL THERAPY INC
Provider Business Practice Location Address City Name:
SOUTH JORDAN
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84095-2609
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-915-1554
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/20/2007