Individual
MR. WILLARD DANIEL O'BERRY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.P.T.
Contact information
Practice address
1982 N MAIN ST, CENTERVILLE, UT 84014-1022
(801) 726-6507
Mailing address
1982 N MAIN ST, CENTERVILLE, UT 84014-1022
(801) 726-6507
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
314657-2401
UT
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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