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1891865960
TIM HENRY
SLC, UT
NPI
1891865960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 5247110-2401)
Enumeration Date
2006-11-08
Last Update Date
2021-11-09
Business Address
TIM HENRY
590 WAKARA WAY
SLC, UT 84108-1200
Phone number: 801-587-7005
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Mailing Address
TIM HENRY
1241 E 3770 S
SALT LAKE CITY, UT 84106-2446
Phone number:
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