JACOB BRANDENBURG

PROVO, UT
NPI1538534847
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  11421)
Enumeration Date2015-12-11
Last Update Date2015-12-11
Business Address
-- JACOB BRANDENBURG
5314 RIVER RUN DR SUITE 140
PROVO, UT 84604-5691
Phone number: 801-471-2449
Mailing Address
-- JACOB BRANDENBURG
5314 RIVER RUN DR SUITE 140
PROVO, UT 84604-5691
Phone number:
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