CHARLES R ACEVEDO

NORTH LOGAN, UT
NPI1134239254
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  1205752401)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
CHARLES R ACEVEDO PT
2310 N 400 E STE C
NORTH LOGAN, UT 84341
Phone number: 435-752-5200
Mailing Address
CHARLES R ACEVEDO PT
PO BOX 6518
NORTH LOGAN, UT 84341-6518
Phone number: 435-752-5200
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