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Organization
ADVANCED PHYSICAL THERAPY, LLC
Active
Organization
ADVANCED PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J JOHNSON PT (OWNER/PHYSICAL THERAPIST)
(435) 652-4455
Entity
Organization
Contact information
Practice address
1490 E FOREMASTER DR STE 110, ST GEORGE, UT 84790-4492
(435) 652-4455
(435) 652-4472
Mailing address
PO BOX 428, ST GEORGE, UT 84771-0428
(435) 652-4455
(435) 652-4472
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
530547502041
—
UT
Enumeration date
08/13/2007
Last updated
08/13/2007
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