Mark Frasco

NPI #1154923464 in West Valley City, Utah

Provider Information

NPI Number: 1154923464
Entity Type: Individual
Name: Mark Frasco
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Nov 11, 2020
Last Updated: Nov 11, 2020

Practice Location

Address: 4785 W 4100 S
City: West Valley City
State: Utah
ZIP Code: 84120-4959
Phone: (801) 955-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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