JACQUELYN GRAVELLE

SALT LAKE CITY, UT
NPI1700267168
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  9307924-8016)
Enumeration Date2015-06-11
Last Update Date2021-12-10
Business Address
JACQUELYN GRAVELLE DPT
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2843
Mailing Address
JACQUELYN GRAVELLE DPT
127 S. 500 E. SUITE 600
SALT LAKE CITY, UT 84102-1971
Phone number: 801-587-6336
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