JONATHAN PATRICK SPROUSE

PROVIDENCE, UT
NPI1548953631
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  13286986-2401)
Enumeration Date2023-06-02
Last Update Date2023-06-02
Business Address
JONATHAN PATRICK SPROUSE
190 S HIGHWAY 165
PROVIDENCE, UT 84332-9512
Phone number: 435-755-3300
Mailing Address
JONATHAN PATRICK SPROUSE
1007 E 450 N
HEBER CITY, UT 84032-3089
Phone number: 435-671-7854
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