IVAN D EARL

SALT LAKE CITY, UT
NPI1306853809
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  309607-2401)
Enumeration Date2006-08-01
Last Update Date2024-03-01
Business Address
IVAN D EARL PT
1685 W 2200 S
SALT LAKE CITY, UT 84119-1456
Phone number: 801-975-1027
Mailing Address
IVAN D EARL PT
PO BOX 25537
SALT LAKE CITY, UT 84125-0537
Phone number:
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