Individual
MONICA ANN FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
50 N MEDICAL DR, SLC, UT 84132-0001
(801) 581-2121
Mailing address
PO BOX 510721, SLC, UT 84151-0721
(801) 587-6872
(801) 587-6675
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
5287498-2401
UT
Other
Enumeration date
06/29/2007
Last updated
12/07/2021
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