DAVID BLAINE ARCHIBALD

PROVO, UT
NPI1821083361
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  5014283-2401)
Enumeration Date2005-09-12
Last Update Date2007-11-13
Business Address
-- DAVID BLAINE ARCHIBALD PT
3303 N UNIVERSITY AVE
PROVO, UT 84604-4438
Phone number: 801-373-7438
Mailing Address
-- DAVID BLAINE ARCHIBALD PT
PO BOX 307
BOUNTIFUL, UT 84011-0307
Phone number: 888-700-6907
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