Ethan Sam, DPT

NPI #1487437901 in Sandy, Utah

Provider Information

NPI Number: 1487437901
Entity Type: Individual
Name: Ethan Sam, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 17, 2023
Last Updated: Aug 17, 2023

Practice Location

Address: 9844 S 1300 E STE 200
City: Sandy
State: Utah
ZIP Code: 84094-4689
Phone: (801) 571-0099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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