JACLYN LONG

WEST VALLEY CITY, UT
NPI1841849916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  11399812-2401)
Enumeration Date2019-09-10
Last Update Date2019-09-10
Business Address
JACLYN LONG DPT
3540 S 4000 W STE 340
WEST VALLEY CITY, UT 84120-3287
Phone number: 801-417-5017
Mailing Address
JACLYN LONG DPT
PO BOX 540640
NORTH SALT LAKE, UT 84054-0640
Phone number: 801-987-8600