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Individual

DAN IVIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T

Contact information

Practice address
597 PARKWAY DR. STE C, PARK CITY, UT 84098
(435) 649-7335
(435) 649-7568
Mailing address
597 PARKWAY DR. STE C, PARK CITY, UT 84098
(435) 649-7335
(435) 649-7568

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0313197-2401
UT

Other

Enumeration date
08/22/2005
Last updated
09/21/2018
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