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Organization
OREM SPORTS MEDICINE CENTER, LLC
Active
Organization
OREM SPORTS MEDICINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW F BUSHNELL DPT (OWNER)
(801) 830-3034
Entity
Organization
Contact information
Practice address
980 E 800 N STE 103, OREM, UT 84097-4261
(801) 226-0599
(801) 226-3145
Mailing address
524 W 300 N STE 201, PROVO, UT 84601-2669
(801) 370-9981
(801) 370-9984
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4739582-2401
UT
Other
Enumeration date
07/14/2006
Last updated
11/27/2023
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