Individual
NICOLE PASDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
90 ALBION VILLAGE WAY, SANDY, UT 84070-4013
(801) 619-3670
(801) 619-3679
Mailing address
90 ALBION VILLAGE WAY, SANDY, UT 84070-4013
(801) 619-3670
(801) 619-3679
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
11522547-2401
UT
Other
Enumeration date
02/05/2020
Last updated
02/19/2020
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