Most Relevant Information
Provider Data
| NPI Number: | 1003474792 |
| Provider Name: | ERIC GLAD DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/29/2019 |
| Last Updated: | 05/29/2019 |
Provider Practice Location
1515 S 1100 E
SALT LAKE CITY
UT
841052424
Practice Location Phone/Fax
| Phone: | 8015835692 |
| Fax: |
Provider Mailing Location
788 E 1700 S
SALT LAKE CITY
UT
841053136
Provider Mailing Phone/Fax
| Phone: | 2066607130 |
| Fax: |