Individual
CARISSA MORA-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 E WOODLAKE LN APT 152, SALT LAKE CITY, UT 84107-1653
(801) 556-8064
Mailing address
415 E WOODLAKE LN APT 152, SALT LAKE CITY, UT 84107-1653
(801) 556-8064
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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