ETHAN SAM

SANDY, UT
NPI1487437901
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  8233885-2401)
Enumeration Date2023-08-17
Last Update Date2023-08-17
Business Address
ETHAN SAM DPT
9844 S 1300 E STE 200
SANDY, UT 84094-4689
Phone number: 801-571-0099
Mailing Address
ETHAN SAM DPT
9844 S 1300 E STE 300
SANDY, UT 84094-4693
Phone number:
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