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Organization

HOLYOAK SPORTS PERFORMANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARSEN HOLYOAK DPT (OWNER)
(385) 283-1265
Entity
Organization

Contact information

Practice address
450 N 1500 W STE A, OREM, UT 84057-2829
(385) 283-1265
Mailing address
2072 N RED YEARLING DR, SARATOGA SPRINGS, UT 84045-3949
(630) 699-3748

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
07/24/2023
Last updated
08/14/2023
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