Provider Demographics
NPI:1033835160
Name:STABILITY REHABILITATION LLC
Entity Type:Organization
Organization Name:STABILITY REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:ARELENE
Authorized Official - Last Name:DUNBAR-LEAVITT
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:801-824-7600
Mailing Address - Street 1:37 W MALSTROM CT
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-7300
Mailing Address - Country:US
Mailing Address - Phone:801-824-7600
Mailing Address - Fax:
Practice Address - Street 1:37 W MALSTROM CT
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-7300
Practice Address - Country:US
Practice Address - Phone:801-824-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty