Mary Childress

NPI #1033580980 in Draper, Utah

Provider Information

NPI Number: 1033580980
Entity Type: Individual
Name: Mary Childress
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Oct 16, 2015
Last Updated: Jun 20, 2024

Practice Location

Address: 65 E WADSWORTH PARK DR STE 230
City: Draper
State: Utah
ZIP Code: 84020-8096
Phone: (385) 308-8034

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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