Organization
PERSONAL PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA CLARICE KAHN P.T. (OWNER / PHYSICAL THERAPIST)
(802) 598-6884
Entity
Organization
Contact information
Practice address
2174 SUNRISE CIR, PARK CITY, UT 84060-7409
(802) 598-6884
Mailing address
2174 SUNRISE CIR, PARK CITY, UT 84060-7409
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
33604
CA
225100000X
Physical Therapist
Primary
6039604-2401
UT
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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