Jacob Brandenburg
Jacob Brandenburg is a Physical Therapist in Provo, Utah. Practices as a sole proprietor. Licensed in Utah.
- Licensed in
- UT
- In the registry since
- 2015
Practice location Address checks out
5314 River Run Dr Ste 140Provo, UT 84604-5691
Phone: (801) 471-2449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 11421 (UT) |
|---|
Record details
| NPI number | 1538534847 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 11, 2015 |
| Last updated in NPPES | December 11, 2015 |
| Mailing address | 5314 River Run Dr, Suite 140, Provo, UT 84604-5691 |
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