MARIE DUFRESNE BAMBO

SALT LAKE CITY, UT
NPI1063544260
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  117517-2401)
Enumeration Date2007-03-12
Last Update Date2007-07-08
Business Address
-- MARIE DUFRESNE BAMBO PT
1685 W 2200 S
SALT LAKE CITY, UT 84119-1456
Phone number: 801-887-5455
Mailing Address
-- MARIE DUFRESNE BAMBO PT
893 13TH AVE
SALT LAKE CITY, UT 84103-3328
Phone number: 801-596-8631