Individual
JON GABRIEL OSORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2701 UNIVERSITY CIRLCE, OGDEN, UT 84408-0001
(801) 626-7712
Mailing address
2496 N 400 W, SUNSET, UT 84015-3416
(801) 860-3283
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8334630-2402
UT
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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