NPI 1124436589

Tony Gongaware

Practitioner Physical Therapy Assistant Murray, UT

Practice location

Address: 5121 S Cottonwood St, Murray, UT 84107-5701
Phone: (801) 507-7000

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 7390791-2402 (UT)

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Registry record

NPI: 1124436589
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jul 2014
Record last updated: 30 Jul 2014

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.