Individual
CICELY FABIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
13348 S MARKET CENTER DR, RIVERTON, UT 84065-8001
(801) 302-8866
Mailing address
9844 S 1300 E STE 300, SANDY, UT 84094-4693
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13425563-2401
UT
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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