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Individual

MITCHELL ORR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
1050 E SOUTH TEMPLE, SLC, UT 84102-1507
(801) 350-4111
Mailing address
2082 E 900 S, SLC, UT 84108-1302

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
11868623-8016
UT
225100000X
Physical Therapist
Primary
11868623-2401
UT

Other

Enumeration date
08/10/2020
Last updated
12/01/2021
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