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1962162073
GREGORY EDWARD RICKENBACKER
SALT LAKE CITY, UT
NPI
1962162073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 12615050-2401)
Enumeration Date
2021-12-30
Last Update Date
2021-12-30
Business Address
GREGORY EDWARD RICKENBACKER PT, DPT
370 E SOUTH TEMPLE STE 150
SALT LAKE CITY, UT 84111-1279
Phone number: 801-521-9222
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Mailing Address
GREGORY EDWARD RICKENBACKER PT, DPT
1176 E 3745 S
SALT LAKE CITY, UT 84106-2443
Phone number: 978-886-7937
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