Individual
DR. MICHAEL JUDE CAPOBIANCHI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3665 S 8400 W STE 210, MAGNA, UT 84044-4909
(801) 250-6733
Mailing address
1932 S MCCLELLAND ST APT 3, SALT LAKE CITY, UT 84105-3444
(215) 622-6653
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
10403368-2401
UT
2251X0800X
Orthopedic Physical Therapist
Primary
10403368-2401
UT
Other
Enumeration date
08/18/2017
Last updated
03/17/2018
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