Individual
DR. ANDREW JIMIN GOTTFREDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3303 N UNIVERSITY AVE, PROVO, UT 84604-4438
(801) 373-7438
(801) 373-7486
Mailing address
9070 W CHEYENNE AVE STE 100, LAS VEGAS, NV 89129-8935
(702) 268-7213
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13980561-2401
UT
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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