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NPI Code Detail

MEDICARE: MR. DENNIS TRACY GILBERT PT

MEDICARE:  MR. DENNIS TRACY GILBERT  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2849052401UT

General Provider Information

NPI Number : 1164553848
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DENNIS TRACY GILBERT PT
Provider Business Mailing Address
First Line : 1133 CREEK VIEW DR
Second Line :
City : FRUIT HEIGHTS
State : UT
Zip : 84037-2665
Country : US
Telephone Number : 801-597-0522
Fax Number : 801-732-2130
Provider Business Practice Location Address
First Line : 4607 MIDLAND DR
Second Line : SUIT 201
City : WEST HAVEN
State : UT
Zip : 84401-9507
Country : US
Telephone Number : 801-732-8700
Fax Number : 801-732-2103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 01/31/2008

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Directions to “ MR. DENNIS TRACY GILBERT PT” Practice Location

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