Glenn Bona Smith, RPT

NPI #1508060062 in American Fork, Utah

Provider Information

NPI Number: 1508060062
Entity Type: Individual
Name: Glenn Bona Smith, RPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: RPT
Enumeration Date: Jun 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 170 N 1100 E
City: American Fork
State: Utah
ZIP Code: 84003-2096
Phone: (801) 855-3437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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