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Organization
GATEWAY PHYSICAL THERAPY AND SPORTS REHAB
Active
Organization
GATEWAY PHYSICAL THERAPY AND SPORTS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIN CHASE (PHYSICAL THERAPIST)
(435) 799-3111
Entity
Organization
Contact information
Practice address
169 N GATEWAY DR STE 160, PROVIDENCE, UT 84332-9707
(435) 799-3111
Mailing address
169 N GATEWAY DR STE 160, PROVIDENCE, UT 84332-9882
(435) 799-3111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
06/09/2022
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