Individual
LULU KABLAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5121 S COTTONWOOD ST, SALT LAKE CITY, UT 84107-5701
(801) 000-0000
Mailing address
5121 S COTTONWOOD ST, SALT LAKE CITY, UT 84107-5701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
22506
MA
225100000X
Physical Therapist
Primary
CP004612T
UT
Other
Enumeration date
09/06/2016
Last updated
12/11/2022
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