Individual
DEREK LABRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 E MAIN, CASTLE DALE, UT 84513
(435) 381-5100
Mailing address
PO BOX 933, PRICE, UT 84501-0933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10383859-2401
UT
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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