SCOTT MICHAEL JEROME

SALT LAKE CITY, UT
NPI1861571648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: UT  283650-2401)
Enumeration Date2006-11-03
Last Update Date2007-07-08
Business Address
-- SCOTT MICHAEL JEROME PT
44 N MEDICAL DR
SALT LAKE CITY, UT 84113-1105
Phone number: 801-883-4646
Mailing Address
-- SCOTT MICHAEL JEROME PT
1077 CLIFF SIDE CT
SANDY, UT 84094-0798
Phone number: 801-563-0708
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