MISCHA WAYAN-LEVINE

SALT LAKE CITY, UT
NPI1366984098
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: UT  8603819-2402)
Enumeration Date2016-11-11
Last Update Date2022-09-09
Business Address
MISCHA WAYAN-LEVINE
1512 S NATURA ST
SALT LAKE CITY, UT 84104-2172
Phone number: 360-820-1015
Mailing Address
MISCHA WAYAN-LEVINE
1512 S NATURA ST
SALT LAKE CITY, UT 84104-2172
Phone number: 360-820-1015
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