RICHARD EDGE

SOUTH JORDAN, UT
NPI1912028366
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  110002-2401)
Enumeration Date2007-04-03
Last Update Date2007-07-08
Business Address
-- RICHARD EDGE PT
2612 W 9545 S
SOUTH JORDAN, UT 84095-9466
Phone number: 801-254-1693
Mailing Address
-- RICHARD EDGE PT
2612 W 9545 S
SOUTH JORDAN, UT 84095-9466
Phone number: 801-254-1693
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