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Individual

AMANDA GILLMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPY

Contact information

Practice address
4705 W PENCE DR, WEST JORDAN, UT 84088-1740
(801) 541-7373
Mailing address
4705 W PENCE DR, WEST JORDAN, UT 84088-1740

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8683181-2401
UT

Other

Enumeration date
10/27/2025
Last updated
10/27/2025
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