Individual
MR. MARLIN M FORSYTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
425 MEDICAL DRIVE, SUITE 104, BOUNTIFUL, UT 84010
(801) 292-5011
(801) 292-8222
Mailing address
425 MEDICAL DRIVE, SUITE 104, BOUNTIFUL, UT 84010
(801) 292-5011
(801) 292-8222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
107338-2401
UT
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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