Individual
LYLE BIDDLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2204 E 7800 S, SOUTH WEBER, UT 84405-9639
(417) 770-6012
Mailing address
2204 E 7800 S, SOUTH WEBER, UT 84405-9639
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
76242322401
UT
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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