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1942843529
KRISTA JANE BROCK
RIVERTON, UT
NPI
1942843529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 8757921-2401)
Enumeration Date
2019-10-25
Last Update Date
2019-10-25
Business Address
KRISTA JANE BROCK DPT
3419 W 12600 S
RIVERTON, UT 84065-7265
Phone number: 801-693-3941
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Mailing Address
KRISTA JANE BROCK DPT
8020 S LINTON DR
WEST JORDAN, UT 84088-7618
Phone number:
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