Individual
LAURA RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 585-2119
Mailing address
1263 KEITH DR, SANDY, UT 84094-3185
(801) 676-9018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5745835-2401
UT
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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