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JONATHAN SPROUSE

Physical Therapist

NPI: 1548953631IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical TherapistPrimary

Physical Therapist

Code: 225100000X

13286986-2401(UT)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2023

Contact & Hours

Address
190 S HIGHWAY 165
PROVIDENCE, UT 84332

Quick Facts

NPI
1548953631
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
3

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