Individual
BRYAN SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
Mailing address
7661 S UNION PARK AVE APT B205, MIDVALE, UT 84047-3012
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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