Intermountain Healthcare

NPI #1376837203 in Salt Lake City, Utah

Provider Information

NPI Number
1376837203
Entity Type
Organization
Organization Name
Intermountain Healthcare
Primary Specialty
General Acute Care Hospital - Children
Enumeration Date
Jun 8, 2011
Last Updated
Jun 8, 2011

Practice Location

Address
100 MARIO CAPECCHI DR
State
Utah
ZIP Code
84113-1103
Phone
(801) 662-4980

Authorized Official

Name
KIMBERLY DESAUTELS
Title
OCCUPATIONAL THERAPIST
Phone
(801) 662-4980

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital - ChildrenChildren

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