Individual
JOAN S MCKEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6074 OAK CANYON DR, SALT LAKE CITY, UT 84121-6361
(801) 898-8125
Mailing address
6074 OAK CANYON DR, SALT LAKE CITY, UT 84121-6361
(801) 898-8125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
110107-2401
UT
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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