Individual
BRAIDEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
980 E 800 N, OREM, UT 84097-4258
(801) 226-0599
Mailing address
980 E 800 N, SUITE 103, OREM, UT 84097
(801) 226-0599
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13155243-2401
UT
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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