Individual
JAN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-4141
Mailing address
5121 COTTONWOOD ST, MURRAY, UT 84107-5701
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7387035-8019
UT
Other
Enumeration date
10/02/2010
Last updated
10/02/2010
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