Individual
TYLER LANDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5349 ADAMS AVE PKWY STE A, OGDEN, UT 84405-4736
(801) 479-9865
(801) 479-5846
Mailing address
5349 ADAMS AVE PKWY STE A, OGDEN, UT 84405-4736
(801) 479-9865
(801) 479-5846
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
9801160-2401
UT
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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