Amv Mountain Land Lc

NPI #1063429793 in Kanab, Utah

Provider Information

NPI Number: 1063429793
Entity Type: Organization
Organization Name: Amv Mountain Land Lc
Subpart: Yes (part of a larger organization)
Parent Organization: MOUNTAIN LAND REHABILITATION, INC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 2, 2006
Last Updated: Jun 16, 2008

Practice Location

Address: 355 N MAIN ST
City: Kanab
State: Utah
ZIP Code: 84741
Phone: (435) 644-4199

Authorized Official

Name: MR. MARK ANDERSON, PT
Title: PRESIDENT
Phone: (801) 942-3311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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