Individual
CANDACE ANN MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
225 W 200 N, MIDWAY, UT 84049-6344
(480) 797-7244
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
10092267-2401
UT
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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