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Individual

MR. TROY CAL GUBLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
942705232401
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000063763
MEDICARE PTAN
UT
01
270523-2401
STATE OF UTAH P.T. LICENSE NUMBER
UT
Enumeration date
09/25/2006
Last updated
12/28/2015
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