Individual
MARC EARL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5848 S 300 E, MURRAY, UT 84107-6170
(801) 314-4040
Mailing address
5848 S 300 E, MURRAY, UT 84107-6170
(801) 314-4040
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5117922-2402
UT
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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