Graham Daub
Physical Therapist in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1801414743
StatusActive
Last updated in NPPESOct 19, 2021
Details
- NPI
- 1801414743
- Entity type
- Individual (NPI-1)
- Name
- Graham Daub
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2020
- Certification date
- Oct 19, 2021
- Last updated
- Oct 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 11795097-2401 | UT | Yes |
| 2251X0800X | Physical Therapist, Orthopedic | 11795097-2401 | UT |
Practice location
520 S Wakara WaySalt Lake City, UT 84108-1213
Phone 801-585-1620
Mailing address
520 S Wakara WaySalt Lake City, UT 84108-1213
Phone 801-585-1620
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