Individual
AUBREY MARISA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 AGGIE VLG APT E, LOGAN, UT 84341-2626
(916) 718-1222
Mailing address
13 AGGIE VLG APT E, LOGAN, UT 84341-2626
(916) 718-1222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11795618-2401
UT
225100000X
Physical Therapist
PT-7047
ID
Other
Enumeration date
11/06/2021
Last updated
11/06/2021
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