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1366226433
ETHAN POWELL
SALT LAKE CITY, UT
NPI
1366226433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 13433896-2401)
Enumeration Date
2023-08-21
Last Update Date
2023-08-21
Business Address
ETHAN POWELL PT, DPT
1515 S 1100 E
SALT LAKE CITY, UT 84105-2424
Phone number: 801-583-5692
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Mailing Address
ETHAN POWELL PT, DPT
1515 S 1100 E
SALT LAKE CITY, UT 84105-2424
Phone number: 801-583-5692
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