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1801057567
IAN WARD BLATTER
PROVO, UT
NPI
1801057567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 6976691-2401)
Enumeration Date
2008-06-24
Last Update Date
2023-11-27
Business Address
IAN WARD BLATTER PT
1055 NORTH 500 WEST STE 122, BUILDING C
PROVO, UT 84604
Phone number: 801-429-0610
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Mailing Address
IAN WARD BLATTER PT
1055 NORTH 500 WEST ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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