Carol Jean Gora MPT

NPI 1003998220 - Physical Therapist - 225100000X

NPI Details
NPI 1003998220
Gender Female
Enumeration Date 10/19/2006
Last Updated 11/14/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1226 N MAIN ST
TOOELE UT, 84074-9540, US
Phone (435) 843-1311
Fax (435) 843-9846
Business Location
PO BOX 307
BOUNTIFUL UT, 84011-0307, US
Phone (888) 700-6907
Fax (801) 294-6917
Toxanomy
Taxonomy Code 225100000X
License State Utah
License Number 30831462401
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According to our database, Carol Jean Gora MPT NPI is 1003998220, taxonomy code is 225100000X and license number is 30831462401, license state is located at Utah. Carol Jean Gora MPT physically located at 1226 N Main St, Tooele UT, 84074-9540. NPI Number Carol Jean Gora MPT has the Individual type.

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1003998220 NPI number is provided on an as is basis without warranty of any kind. 1003998220 is maintained by the National Plan & Provider Enumeration System. The contents of Carol Jean Gora MPT are for informational purposes only.