Ms. Marissa Lou Moran
Physical Therapist - Neurology
90 Albion Village Way
Sandy
, Utah 84070-4013
Ms. Marissa Lou Moran
Physical Therapist - Neurology
90 Albion Village Way
Sandy
, Utah 84070-4013
(801) 619-3679
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About
Features
Specialties
- Physical Therapist - Neurology
Languages spoken
- English
Location
First Address
- Ms. Marissa Lou Moran
- 90 Albion Village Way
- Sandy, UT
- Zip : 84070-4013
- Fax : (801) 619-3679
- Phone : (801) 619-3670
Second Address
- Ms. Marissa Lou Moran
- 90 Albion Village Way
- Sandy, UT
- Zip : 84070-4013
- Fax : (801) 619-3679
- Phone : (801) 619-3670
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251N0400X | Physical Therapist - Neurology | 105992042401 | UT |
National Provider Identifier
| NPI | 1477931103 |
|---|---|
| Provider Name | Ms. Marissa Lou Moran |
| First Address | Sandy, UT 84070-4013 |
| Second Address | Sandy, UT 84070-4013 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/05/2015 |
| Last Update Date | 13/04/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.