Jeramiah Fortune, DPT

NPI #1770729949 in Riverton, Utah

Provider Information

NPI Number: 1770729949
Entity Type: Individual
Name: Jeramiah Fortune, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Dec 18, 2008
Last Updated: Jan 14, 2013

Practice Location

Address: 13747 REDWOOD RD
City: Riverton
State: Utah
ZIP Code: 84065
Phone: (801) 938-9806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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