Individual
MRS. CARLA MAGPANTAY RIDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 S 1000 E, SALT LAKE CITY, UT 84102-1402
(385) 478-5485
Mailing address
165 S 1000 E, SALT LAKE CITY, UT 84102-1402
(385) 478-5485
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
130669104003
UT
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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