Individual
PAMELA SUSAN MAGLIOCCHINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10178 HEYTESBURY LN, SANDY, UT 84092-3842
(801) 572-0461
Mailing address
10178 HEYTESBURY LN, SANDY, UT 84092-3842
(801) 572-0461
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
120619-2401
UT
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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