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Individual

DR. ZOE ELLEN FASELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1515 S 1100 E, SALT LAKE CITY, UT 84105-2424
(801) 583-5692
Mailing address
1515 S 1100 E, SALT LAKE CITY, UT 84105-2424
(720) 232-8520

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
09/13/2021
Last updated
09/13/2021
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