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Organization
DELTA PHYSICAL THERAPY AND SPORTS MEDICINE PC
Active
Organization
DELTA PHYSICAL THERAPY AND SPORTS MEDICINE PC
Active
Other names
Fillmore Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD QUACKENBUSH D.P.T. (PRESIDENT)
(435) 864-2551
Entity
Organization
Contact information
Practice address
770 S HIGHWAY 99, SUITE A, FILLMORE, UT 84631
(435) 743-6100
(435) 743-6161
Mailing address
95 WHITE SAGE AVE STE C, DELTA, UT 84624-5555
(435) 864-2551
(435) 864-3573
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/20/2007
Last updated
12/28/2018
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