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NPI Code Detail

MEDICARE: PM&R COUNSELING

MEDICARE: PM&R COUNSELING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1283X00000XRehabilitation HospitalUT
2273Y00000XRehabilitation Hospital UnitUT

General Provider Information

NPI Number : 1023299591
Entity Type Code : Organization
Provider Name (Legal Business Name) : PM&R COUNSELING
Provider Business Mailing Address
First Line : UNIVERSITY MEDICAL CENTER PMR
Second Line : 30 NO. 1900 EAST
City : SALT LAKE CITY
State : UT
Zip : 84132-2119
Country : US
Telephone Number : 801-581-5741
Fax Number : 801-585-5757
Provider Business Practice Location Address
First Line : UNIVERSITY MEDICAL CENTER PMR
Second Line : 30 NO. 1900 EAST
City : SALT LAKE CITY
State : UT
Zip : 84132-2119
Country : US
Telephone Number : 801-581-5741
Fax Number : 801-585-5757
Authorized Official
Title or Position : CO-DIRECTOR
Name : DR. D. CORYDON HAMMOND
Credential : PH.D.
Telephone Number : 801-581-5741
Provider Enumeration Date : 11/26/2007
Last Update Date : 11/26/2007

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Practice Phone: 801-581-5741
Practice Fax:

Directions to “PM&R COUNSELING ” Practice Location

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