NPI 1013409093

Jon Gabriel Osorio, PTA

Practitioner Physical Therapy Assistant Ogden, UT

Practice location

Address: 2701 University Cirlce, Ogden, UT 84408-0001
Phone: (801) 626-7712
Mailing address: 2496 N 400 W, Sunset, UT 84015-3416

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 8334630-2402 (UT)

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Registry record

NPI: 1013409093
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2018
Record last updated: 5 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.