Individual
ELIZABETH FORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(435) 658-7000
Mailing address
2650 LITTLE KATE RD, PARK CITY, UT 84060-6853
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11228238-2401
UT
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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