Individual
DAVID VON NIEDERHAUSERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 PARK MEADOW CIR, HYDE PARK, UT 84318-3804
(435) 760-3060
Mailing address
330 PARK MEADOW CIR., HYDE PARK, UT 84318
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
282567-2402
UT
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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