LOUPEL SUPERFICIAL ANTIQUIERA

SALT LAKE CITY, UT
NPI1104123363
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT60024755)
Enumeration Date2011-02-23
Last Update Date2011-02-23
Business Address
-- LOUPEL SUPERFICIAL ANTIQUIERA
1952 E 7000 S STE 100
SALT LAKE CITY, UT 84121-6878
Phone number: 801-942-3311
Mailing Address
-- LOUPEL SUPERFICIAL ANTIQUIERA
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311