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DAVID BLAINE ARCHIBALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3303 N UNIVERSITY AVE, PROVO, UT 84604-4438
(801) 373-7438
(801) 373-7486
Mailing address
PO BOX 307, BOUNTIFUL, UT 84011-0307
(888) 700-6907
(801) 294-6917

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5014283-2401
UT

Other

Enumeration date
09/12/2005
Last updated
11/13/2007
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