Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 120890-2401 | UT |
NPI | 1568429967 |
---|---|
Provider Name | Jan Black |
First Address | Sandy, UT 84070-4013 |
Second Address | Sandy, UT 84070-4013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2006 |
Last Update Date | 13/04/2020 |