Individual
DR. MARIA NICOLE MEZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 716-1000
Mailing address
3 JULIE LN, EDWARDSVILLE, IL 62025-3331
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13736055-2401
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/03/2024
Last updated
04/06/2024
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