Individual
HEATHER LOVELADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 N 1200 W, OGDEN, UT 84404-3652
(801) 334-4300
Mailing address
206 N 2100 W, SALT LAKE CITY, UT 84116-4740
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8197880-2402
UT
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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