Individual
MRS. REBECCA PINGREE JANZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC L
Contact information
Practice address
9720 S 1300 E, #W200, SANDY, UT 84094-3712
(801) 572-0690
Mailing address
3612 AURORA CIR, HOLLADAY, UT 84124-2235
(801) 205-6906
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6351453-4810
UT
Other
Enumeration date
12/12/2006
Last updated
07/14/2007
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