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1356888119
AMY SHUCKRA
SALT LAKE CITY, UT
NPI
1356888119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: UT 53385522401)
Enumeration Date
2017-01-31
Last Update Date
2017-01-31
Business Address
-- AMY SHUCKRA DPT
1275 E FAIRFAX RD
SALT LAKE CITY, UT 84103-4324
Phone number: 801-536-3805
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Mailing Address
-- AMY SHUCKRA DPT
1275 E FAIRFAX RD
SALT LAKE CITY, UT 84103-4324
Phone number: 801-536-3805
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