CARTER BLACKHAM

SALT LAKE CITY, UT
NPI1932521986
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  8661479-2401)
Enumeration Date2014-01-10
Last Update Date2014-01-10
Business Address
-- CARTER BLACKHAM
370 EAST SOUTH TEMPLE SUITE 100
SALT LAKE CITY, UT 84102
Phone number: 801-363-3926
Mailing Address
-- CARTER BLACKHAM
840 TWIN LAKES DR UNIT 415
ST GEORGE, UT 84770-3161
Phone number: 435-669-9191
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