Individual
STEFANIE AZEVEDO ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
201 W LAYTON PKWY FL 3, LAYTON, UT 84041-3692
(801) 543-6691
(801) 543-6680
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
8317386-2401
UT
2251P0200X
Pediatric Physical Therapist
Primary
8317386-2401
UT
Other
Enumeration date
07/16/2012
Last updated
04/07/2023
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