Individual
LAILA GERACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3895 HARRISON BLVD, OGDEN, UT 84403-2312
(801) 387-7678
Mailing address
1207 W 300 S, SLC, UT 84104-2333
(503) 753-8858
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10829203-2401
UT
Other
Enumeration date
06/11/2018
Last updated
12/10/2021
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