Individual
ALISHA MECHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
527 W 400 N, OREM, UT 84057-1916
(801) 714-3505
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(801) 404-3402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
9249039-2401
UT
2251P0200X
Pediatric Physical Therapist
Primary
9249039-2401
UT
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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