ANA CORINA BANCILA

DRAPER, UT
NPI1427601954
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: UT  92078202402)
Enumeration Date2019-07-23
Last Update Date2019-07-23
Business Address
ANA CORINA BANCILA PTA, CKTP
12702 S FORT ST
DRAPER, UT 84020-9755
Phone number: 801-571-2704
Mailing Address
ANA CORINA BANCILA PTA, CKTP
4571 S WOODDUCK LN
SALT LAKE CITY, UT 84117-4116
Phone number: 706-816-2827