Individual
LAUREN WHITEHOUSE MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3903 HARRISON BLVD, SUITE 400, OGDEN, UT 84403-2314
(801) 387-2080
Mailing address
3903 HARRISON BLVD, SUITE 400, OGDEN, UT 84403-2314
(801) 387-2080
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
1168746
TX
2251P0200X
Pediatric Physical Therapist
Primary
8142501-2401
UT
2251S0007X
Sports Physical Therapist
1168746
TX
Other
Enumeration date
12/12/2007
Last updated
01/30/2012
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