Organization
PROCARE THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY DAVID ANDERSON MPT (PRESIDENT)
(801) 489-5633
Entity
Organization
Contact information
Practice address
1409 W 1400 N, MAPLETON, UT 84664-3358
(801) 489-5633
Mailing address
1409 W 1400 N, MAPLETON, UT 84664-3358
(801) 489-5633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
310372-2401
UT
261QP2000X
Physical Therapy Clinic/Center
310372-2401
UT
Other
Enumeration date
06/28/2012
Last updated
07/24/2015
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