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Individual

LAUREN DANIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1050 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1507
(801) 350-4593
(801) 350-4483
Mailing address
1050 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1507
(801) 350-4593
(801) 350-4483

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9008731-2401
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417988833
UT
05
225100000X
UT
Enumeration date
08/22/2014
Last updated
08/22/2014
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