Individual
MARYJANE ALEXIS MIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
30 N 1900 E, SOM IR73, SALT LAKE CITY, UT 84132-0002
(801) 581-2733
Mailing address
160 S 600 E APT 307, SALT LAKE CITY, UT 84102-1963
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10474895-2401
UT
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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