Individual
MARIELLA BALLATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
50 N MEDICAL DRIVE, SOM 1R73, SALT LAKE CITY, UT 84111
(503) 936-7930
Mailing address
1019 S 300 E, SALT LAKE CITY, UT 84111-4618
(503) 936-7930
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10385747-2401
UT
Other
Enumeration date
06/23/2017
Last updated
10/19/2021
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