Individual
CARSON CALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
375 E 5350 S, WASHINGTON TERRACE, UT 84405-6934
(801) 479-5700
Mailing address
375 E 5350 S, WASHINGTON TERRACE, UT 84405-6934
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11135069-2402
UT
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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