Individual
JULIE L WALDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT, OCS, CMPT
Contact information
Practice address
150 S 600 E STE 3B, SALT LAKE CITY, UT 84102-1961
(801) 769-6778
(385) 202-7615
Mailing address
188 E ENSIGN VISTA DR, SALT LAKE CITY, UT 84103-2260
(801) 769-6778
(385) 202-7615
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
344119-2401
UT
2251X0800X
Orthopedic Physical Therapist
—
UT
Other
Enumeration date
08/21/2006
Last updated
01/11/2019
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