Individual
MICHAEL CARL WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
74 E 500 S STE 104, BOUNTIFUL, UT 84010-6200
(801) 292-5011
(801) 292-8222
Mailing address
610 S 100 E # A, BOUNTIFUL, UT 84010-5003
(385) 315-2455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13772720-2401
UT
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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