ROGER E PACK

OREM, UT
NPI1033225578
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  1193062401)
Enumeration Date2006-08-21
Last Update Date2007-11-20
Business Address
-- ROGER E PACK PT
412 W. 800 N.
OREM, UT 84057
Phone number: 801-701-6515
Mailing Address
-- ROGER E PACK PT
PO BOX 657
OREM, UT 84059-0657
Phone number: 801-225-6246
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