Organization
REDWOOD INJURY TREATMENT CENTER
Active
Other names
Redwood Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB DANIEL EREKSON DPT (PHYSICAL THERAPIST/CLINIC DIRECTOR)
(801) 904-3089
Entity
Organization
Contact information
Practice address
6321 S REDWOOD RD, SUITE 105, TAYLORSVILLE, UT 84123-6798
(801) 904-3089
(801) 904-3435
Mailing address
6321 S REDWOOD RD, SUITE 105, TAYLORSVILLE, UT 84123-6798
(801) 904-3089
(801) 904-3435
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
7376354-2401
UT
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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