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1306164199
AMY ITA
SALT LAKE CITY, UT
NPI
1306164199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: IA 4168)
Enumeration Date
2010-05-04
Last Update Date
2020-04-13
Business Address
AMY ITA
1952 E 7000 S
SALT LAKE CITY, UT 84121-6877
Phone number: 801-942-3311
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Mailing Address
AMY ITA
1221 S GEAR AVE
WEST BURLINGTON, IA 52655-1679
Phone number: 319-768-4124
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