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Organization
ON THE GO PHYSICAL THERAPY LLC
Active
Organization
ON THE GO PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SOUVALL DPT (OWNER)
(801) 505-0716
Entity
Organization
Contact information
Practice address
2507 S 300 W, SALT LAKE CITY, UT 84115-2908
(801) 505-0716
Mailing address
2507 S 300 W, SALT LAKE CITY, UT 84115-2908
(801) 505-0716
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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