Organization
ON THE GO PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SOUVALL DPT (OWNER)
(801) 505-0716
Entity
Organization
Contact information
Practice address
2507 S 300 W, SALT LAKE CITY, UT 84115-2908
(801) 505-0716
Mailing address
2507 S 300 W, SALT LAKE CITY, UT 84115-2908
(801) 505-0716
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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