Individual
BRIAN MERLIN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 N 500 W, PROVO, UT 84604-3305
(801) 660-9280
Mailing address
597 E CENTER ST, HEBER CITY, UT 84032-1912
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4824225-2402
UT
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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