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Individual

DALLAS C OVERLY

Active
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Individual

DALLAS C OVERLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4910375-2401
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1558317743
SELECT HEALTH
UT
01
201776
ALTIUS
UT
01
49103752400001
BLUE CROSS
UT
01
49103752402001
WRHN/VALUECARE
UT
01
49103752403001
WRHN
UT
01
49103752410001
BCBS
UT
01
88748
PEHP
UT
Enumeration date
05/26/2006
Last updated
10/10/2007
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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