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1780397497
ANDREA M EWERT
HERRIMAN, UT
NPI
1780397497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: UT 13190899-2402)
Enumeration Date
2022-12-28
Last Update Date
2023-08-24
Business Address
ANDREA M EWERT PTA
13358 S 5600 W
HERRIMAN, UT 84096
Phone number: 801-302-7232
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Mailing Address
ANDREA M EWERT PTA
14241 S REDWOOD RD STE A-020
BLUFFDALE, UT 84065-5223
Phone number: 801-302-7230
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