Individual
DR. LISA A MILKAVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, PCS
Contact information
Practice address
2500 S STATE ST RM B122, SOUTH SALT LAKE, UT 84115-3164
(385) 646-4548
Mailing address
534 E 4800 S, MURRAY, UT 84107-4909
(801) 750-4316
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5190013-2401
UT
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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