Organization
ALPINE SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA P. TERWILLEGAR (PARTNER)
(435) 645-9095
Entity
Organization
Contact information
Practice address
2015 SIDEWINDER DR, PARK CITY, UT 84060-7323
(435) 645-9095
(435) 645-9092
Mailing address
PO BOX 682226, PARK CITY, UT 84068-2226
(435) 658-4691
(435) 658-4691
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2832592401
UT
225100000X
Physical Therapist
Primary
3296682401
UT
225100000X
Physical Therapist
49452432401
UT
225100000X
Physical Therapist
849822401
UT
225X00000X
Occupational Therapist
2634904201
UT
Other
Enumeration date
11/15/2006
Last updated
10/17/2014
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