JACOB KORISH

SANDY, UT
NPI1861951840
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  11169484-2401)
Enumeration Date2019-03-18
Last Update Date2019-03-18
Business Address
JACOB KORISH DPT
9450 S 1300 E
SANDY, UT 84094-5555
Phone number: 801-501-2133
Mailing Address
JACOB KORISH DPT
860 E 300 S APT 33
SALT LAKE CITY, UT 84102-2331
Phone number: 563-258-1505
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