EDGAR ALLAN SANTIAGO

SALT LAKE CITY, UT
NPI1689856445
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  33233)
Enumeration Date2007-12-03
Last Update Date2007-12-03
Business Address
-- EDGAR ALLAN SANTIAGO
1952 E 7000 S STE 100
SALT LAKE CITY, UT 84121-6878
Phone number: 801-942-3311
Mailing Address
-- EDGAR ALLAN SANTIAGO
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311