Individual
MRS. CAROL HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
349 12TH ST, OGDEN, UT 84404-5712
(801) 393-0900
(801) 394-6130
Mailing address
349 12TH ST, OGDEN, UT 84404-5712
(801) 393-0900
(801) 394-6130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
113732-2401
UT
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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