Jli Lc

NPI #1881020378 in Sandy, Utah

Provider Information

NPI Number: 1881020378
Entity Type: Organization
Organization Name: Jli Lc
Primary Specialty: Physical Therapist
Enumeration Date: Sep 17, 2013
Last Updated: Sep 17, 2013

Practice Location

Address: 11075 S STATE ST
Address 2: BLDG. 35
City: Sandy
State: Utah
ZIP Code: 84070-5164
Phone: (801) 990-1990

Authorized Official

Name: JON LAME
Title: OWNER
Phone: (801) 990-1990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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