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1407053614
MONICA ANN FREDERICK
SLC, UT
NPI
1407053614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251N0400X Physical Therapist Neurology
(Licence: UT 5287498-2401)
Enumeration Date
2007-06-29
Last Update Date
2021-12-07
Business Address
MONICA ANN FREDERICK MSPT
50 N MEDICAL DR
SLC, UT 84132-0001
Phone number: 801-581-2121
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Mailing Address
MONICA ANN FREDERICK MSPT
PO BOX 510721
SLC, UT 84151-0721
Phone number: 801-587-6872
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