Individual
ELI MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1523 BRAXTON PL, LOGAN, UT 84321-6754
(801) 712-2340
Mailing address
1523 BRAXTON PL, LOGAN, UT 84321-6754
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
289006-2401
UT
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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