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Organization

INTEGRATED THERAPY PRACTICE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE CAROLYN POWELL M.ED.,P.T. (OWNER)
(435) 755-3113
Entity
Organization

Contact information

Practice address
189 N 200 E, LOGAN, UT 84321-4605
(435) 755-3113
(435) 755-3123
Mailing address
PO BOX 411, LOGAN, UT 84323-0411
(435) 755-3113
(435) 755-3123

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
120344-2401
UT

Other

Enumeration date
01/10/2008
Last updated
01/10/2008
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