BRIDGER PARK

PROVO, UT
NPI1063865699
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: UT  3095297-8016)
Enumeration Date2016-07-19
Last Update Date2016-07-19
Business Address
-- BRIDGER PARK DPT
1034 NORTH 500 WEST
PROVO, UT 84604
Phone number: 801-357-1250
Mailing Address
-- BRIDGER PARK DPT
1034 NORTH 500 WEST
PROVO, UT 84604
Phone number: 801-357-1250