Individual
MARY ANN O ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
100 N MEDICAL DR, SLC, UT 84113-1103
(801) 588-2000
Mailing address
100 N MEDICAL DR, SLC, UT 84113-1103
(801) 588-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
106548-2401
UT
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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