Individual
SAMANTHA DAWSON TANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
418 E WILLIAMS AVE, SALT LAKE CITY, UT 84111-4326
(574) 453-8548
Mailing address
418 E WILLIAMS AVE, SALT LAKE CITY, UT 84111-4326
(574) 453-8548
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
11287559-2401
UT
Other
Enumeration date
07/08/2019
Last updated
03/14/2022
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