Individual
LUCIANA CID POVOA
Active
Sole proprietor
Yes
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
4892 W FROGS LEAP DR APT 4307, SOUTH JORDAN, UT 84009-4731
(801) 834-7109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12060471-2401
UT
Other
Enumeration date
04/06/2021
Last updated
04/11/2021
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