Individual
ELISE T MUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1525 E OVATION PL, WASHINGTON, UT 84780-2759
(435) 429-0000
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12345125-2401
UT
225100000X
Physical Therapist
18598
MD
Other
Enumeration date
08/05/2013
Last updated
08/31/2021
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