Organization · Type 2 NPI

Pediatric PM and R

Pediatric Rehabilitation Medicine Physician · Salt Lake City, UT

NPI number 1760776223 Active

Practice location

100 Mario Capecchi Dr, Room 4400
Salt Lake City, UT 84113-1103

Call (801) 662-4949 Map

Fax (801) 662-4931

Mailing address

PO Box 413032
Salt Lake City, UT 84141-3032

Specialties and licenses

TaxonomyCodeLicense
Physical Medicine & Rehabilitation Physician 208100000X72775361205 (UT)
Pediatric Rehabilitation Medicine Physician Primary 2081P0010X72775361205 (UT)

Pediatric Rehabilitation Medicine Physician: A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabi…

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About NPI 1760776223

Pediatric PM and R's National Provider Identifier is 1760776223, issued on Jun 1, 2011. The primary taxonomy on file is Pediatric Rehabilitation Medicine Physician (2081P0010X), and the practice location is in Salt Lake City, UT. The record was last updated on Jun 1, 2011.