Individual
IRENE ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, CERT MDT, C/NDT
Contact information
Practice address
4885 S 900 E, STE 110 B, SALT LAKE CITY, UT 84117-5746
(801) 200-3356
Mailing address
3501 LOREN VON DR, SALT LAKE CITY, UT 84124-3816
(801) 979-4722
(801) 266-0421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5804957-2401
UT
Other
Enumeration date
09/13/2006
Last updated
02/13/2020
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