Individual
BRENT F HAMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
370 9TH AVE STE 201, SLC, UT 84103-3183
(801) 408-5735
Mailing address
370 9TH AVE STE 201, SLC, UT 84103-3183
(801) 408-5735
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
113491-2401
UT
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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