Sunshine Terrance

NPI #1417347113 in Logan, Utah

Provider Information

NPI Number: 1417347113
Entity Type: Organization
Organization Name: Sunshine Terrance
Primary Specialty: Clinic/Center - Rehabilitation
Enumeration Date: Feb 2, 2015
Last Updated: Feb 2, 2015

Practice Location

Address: 209 W 300 N
City: Logan
State: Utah
ZIP Code: 84321-3809
Phone: (435) 716-8535

Authorized Official

Name: DR. BROCK KEITH CHRISTENSEN, OTR/L
Title: OCCUPATIONAL THERAPIST
Phone: (435) 512-9071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Community Health — Community Health	261QC1500X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Skilled Nursing Facility	314000000X
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X	Primary

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