Individual
DEANNA DIBELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1741 E LOGAN AVE, SALT LAKE CITY, UT 84108-2629
(801) 468-8419
Mailing address
1741 LOGAN AVENUE, SALT LAKE CITY, UT 84108
(801) 468-8419
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
292666-2401
UT
Other
Enumeration date
05/02/2007
Last updated
03/17/2015
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