TONY GONGAWARE

MURRAY, UT
NPI1124436589
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: UT  7390791-2402)
Enumeration Date2014-07-30
Last Update Date2014-07-30
Business Address
-- TONY GONGAWARE
5121 S COTTONWOOD ST
MURRAY, UT 84107-5701
Phone number: 801-507-7000
Mailing Address
-- TONY GONGAWARE
5121 S COTTONWOOD ST
MURRAY, UT 84107-5701
Phone number:
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