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Individual

WADE GREENWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3580 W 9000 S, SUITE 102, WEST JORDAN, UT 84088-8812
(801) 601-2309
(801) 601-2649
Mailing address
3580 W 9000 S, SUITE 102, WEST JORDAN, UT 84088-8812
(801) 601-2309
(801) 601-2649

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5119343-2401
UT

Other

Enumeration date
10/08/2014
Last updated
10/08/2014
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