Individual
CHRIS H DAHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2261 KIESEL AVE STE 320, OGDEN, UT 84401-1969
(801) 621-8835
(801) 528-5357
Mailing address
2261 KIESEL AVE STE 320, OGDEN, UT 84401-1969
(801) 621-8835
(801) 528-5357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
115411-2401
UT
2251X0800X
Orthopedic Physical Therapist
115411-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870375865000
—
UT
Enumeration date
08/31/2006
Last updated
11/29/2007
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