Individual
MR. ISAAC LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
462 N MAIN ST, COALVILLE, UT 84017-9777
(575) 545-1223
Mailing address
PO BOX 386, COALVILLE, UT 84017-0386
(575) 545-1223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2895
NM
Other
Enumeration date
09/15/2005
Last updated
10/26/2010
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