Individual
JENNIFER PINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7575 S SILVER FORK DR, SALT LAKE CITY, UT 84121-5336
(307) 413-0649
Mailing address
7575 S SILVER FORK DR, SALT LAKE CITY, UT 84121-5336
(307) 413-0649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7961890-2401
UT
Other
Enumeration date
06/06/2011
Last updated
01/03/2023
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