Individual
MR. JAMES MATTHEW OMBRELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6440 MILLROCK DR, SUITE 175, SALT LAKE CITY, UT 84121-5589
(866) 724-8555
Mailing address
6440 MILLROCK DR, SUITE 175, SALT LAKE CITY, UT 84121-5589
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1166960
TX
225100000X
Physical Therapist
1937
AK
225100000X
Physical Therapist
2876
HI
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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