JACOB PETERSON POWELL

OREM, UT
NPI1558135988
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  12699294-2401)
Enumeration Date2023-11-07
Last Update Date2023-11-07
Business Address
JACOB PETERSON POWELL DPT
475 HOSPITAL DR
OREM, UT 84057
Phone number: 801-221-9930
Mailing Address
JACOB PETERSON POWELL DPT
674 W 640 N
OREM, UT 84057-3665
Phone number: