Mont Didericksen, PT

NPI #1063963825 in Smithfield, Utah

Provider Information

NPI Number
1063963825
Entity Type
Individual
Name
Mont Didericksen, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Oct 17, 2016
Last Updated
Oct 17, 2016

Practice Location

Address
551 S 455 E
State
Utah
ZIP Code
84335-1355
Phone
(435) 757-4847

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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