Individual
COLTER DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
451 E BISHOP FEDERAL LN, SALT LAKE CITY, UT 84115-2357
(801) 487-7557
Mailing address
451 E BISHOP FEDERAL LN, SALT LAKE CITY, UT 84115-2357
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9058049-2402
UT
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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