Individual
CANDICE EDGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
Mailing address
375 EASTRIDGE CIR, ALPINE, UT 84004
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8963482-2402
UT
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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