Individual
ADILVANIA F DA COSTA RESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
777 E 3900 S, MILLCREEK, UT 84107-2199
(954) 773-1050
Mailing address
2576 S 900 E APT 2, SALT LAKE CITY, UT 84106-2556
(954) 773-1050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10173086-2401
UT
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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