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Individual

BYRON C MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7005
Mailing address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11453450-2401
UT
2251X0800X
Orthopedic Physical Therapist

Other

Enumeration date
12/10/2019
Last updated
11/29/2021
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