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Individual

JOHN ROBERT SUMSION

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSPT

Contact information

Practice address
1184 E 80 N, AMERICAN FORK, UT 84003-2906
(801) 756-7777
Mailing address
1047 E 1100 N, AMERICAN FORK, UT 84003-3228

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
120093-2401
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
N0925
UT
Enumeration date
04/04/2007
Last updated
07/08/2007
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