Individual
MRS. JULIE ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 585-2019
Mailing address
1939 IMPERIAL ST, SALT LAKE CITY, UT 84105-3818
(661) 803-0455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6845358-2401
UT
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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