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Organization

MARLIN M FORSYTH

Active
Other names
Bountiful Physical Therapy-Sports Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARLIN M FORSYTH P.T. (OWNER)
(801) 292-5011
Entity
Organization

Contact information

Practice address
425 MEDICAL DR, SUITE 104, BOUNTIFUL, UT 84010-4945
(801) 292-5011
(801) 292-8222
Mailing address
425 MEDICAL DR, SUITE 104, BOUNTIFUL, UT 84010-4945
(801) 292-5011
(801) 292-8222

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
UT

Other

Enumeration date
05/24/2007
Last updated
06/13/2008
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