Greg Brent Radcliffe, PTA

NPI #1245492388 in Slc, Utah

Provider Information

NPI Number: 1245492388
Entity Type: Individual
Name: Greg Brent Radcliffe, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 30, 2008
Last Updated: Jun 30, 2008

Practice Location

Address: 2040 E MURRAY-HOLLADAY RD SUITE 205
City: Slc
State: Utah
ZIP Code: 84117
Phone: (801) 274-0299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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