JACOB DANIEL CHRISTIANSEN

SALT LAKE CITY, UT
NPI1295199628
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: UT  10483143-1204)
Enumeration Date2016-04-12
Last Update Date2023-07-13
Business Address
JACOB DANIEL CHRISTIANSEN D.O.
5171 S COTTONWOOD ST STE 810
SALT LAKE CITY, UT 84107-5705
Phone number: 801-507-9800
Mailing Address
JACOB DANIEL CHRISTIANSEN D.O.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-507-9800