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Individual

RYAN SMITH STROMBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1477 N 2000 W, CLINTON, UT 84015-8638
(801) 773-4191
(801) 773-4197
Mailing address
1952 E 7000 S, SALT LAKE CITY, UT 84121-6877
(801) 942-3311
(801) 942-5955

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7266516-2401
LICENSE NUMBER
UT
Enumeration date
06/02/2015
Last updated
11/02/2016
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