Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 2775252401 | UT |
N | 2251C2600X | Cardiopulmonary | 2775252401 | UT |
N | 2251G0304X | Physical Therapist - Geriatrics | 2775252401 | UT |
N | 2251H1200X | Hand | 2775252401 | UT |
N | 2251N0400X | Physical Therapist - Neurology | 2775252401 | UT |
N | 2251P0200X | Physical Therapist - Pediatrics | 2775252401 | UT |
N | 2251S0007X | Physical Therapist - Sports | 2775252401 | UT |
N | 2251X0800X | Physical Therapist - Orthopedic | 2775252401 | UT |
NPI | 1053755769 |
---|---|
Provider Name | Muriel Joan Lee |
First Address | Salt Lake City, UT 84117-4236 |
Second Address | Salt Lake City, UT 84117-4236 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2013 |
Last Update Date | 24/04/2013 |