Individual
MELODY ANTORA JABEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T
Contact information
Practice address
5547 S 4015 W, #7, TAYLORSVILLE, UT 84129-4429
(801) 967-6055
Mailing address
127 S. 500 E., SUITE 600, SALT LAKE CITY, UT 84102-1971
(801) 587-6336
(801) 715-8228
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05009691A
IN
225100000X
Physical Therapist
35476
CA
2251X0800X
Orthopedic Physical Therapist
Primary
76372502401
UT
Other
Enumeration date
09/30/2008
Last updated
10/21/2021
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