Mont Didericksen, PT | |
551 S 455 E, Smithfield, UT 84335-1355 | |
(435) 757-4847 | |
Not Available |
Full Name | Mont Didericksen |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 551 S 455 E, Smithfield, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063963825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mont Didericksen, PT 551 S 455 E, Smithfield, UT 84335-1355 Ph: (435) 757-4847 | Mont Didericksen, PT 551 S 455 E, Smithfield, UT 84335-1355 Ph: (435) 757-4847 |
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