Organization
FIRST MED EAST PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL G WORTLEY PT (PRESIDENT)
(801) 417-5017
Entity
Organization
Contact information
Practice address
1950 FORT UNION BLVD, SALT LAKE CITY, UT 84121-6894
(801) 943-1041
(801) 943-3461
Mailing address
PO BOX 702128, SALT LAKE CITY, UT 84170-2128
(801) 708-7867
(801) 677-1510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
110326-2401
UT
Other
Enumeration date
07/17/2006
Last updated
04/06/2010
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