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1376063081
MARIELLA BALLATO
SALT LAKE CITY, UT
NPI
1376063081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 10385747-2401)
Enumeration Date
2017-06-23
Last Update Date
2021-10-19
Business Address
MARIELLA BALLATO DPT
50 N MEDICAL DRIVE SOM 1R73
SALT LAKE CITY, UT 84111
Phone number: 503-936-7930
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Mailing Address
MARIELLA BALLATO DPT
1019 S 300 E
SALT LAKE CITY, UT 84111-4618
Phone number: 503-936-7930
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