Individual
GRAHAM DAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 S WAKARA WAY, SALT LAKE CITY, UT 84108-1213
(801) 585-1620
Mailing address
520 S WAKARA WAY, SALT LAKE CITY, UT 84108-1213
(801) 585-1620
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11795097-2401
UT
2251X0800X
Orthopedic Physical Therapist
11795097-2401
UT
Other
Enumeration date
07/07/2020
Last updated
10/19/2021
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