Individual
COULSON S RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
636 E STATE RD, AMERICAN FORK, UT 84003-2151
(801) 492-6577
(801) 492-6579
Mailing address
636 E STATE RD, AMERICAN FORK, UT 84003-2151
(801) 492-6577
(801) 492-6579
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12569335-2401
UT
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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