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1336652957
BRIAN LEWIS WIKE
SOUTH JORDAN, UT
NPI
1336652957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: UT 9772893-2401)
Enumeration Date
2017-11-06
Last Update Date
2017-11-06
Business Address
BRIAN LEWIS WIKE PT, DPT, CSCS
1868 W 9800 S STE 200
SOUTH JORDAN, UT 84095-4713
Phone number: 801-676-2210
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Mailing Address
BRIAN LEWIS WIKE PT, DPT, CSCS
2293 E FISHER LN
SALT LAKE CITY, UT 84109-1922
Phone number: 702-449-7461
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