Tania M Niclas, PT
NPI #1083788632 in West Jordan, Utah
Provider Information
- NPI Number
- 1083788632
- Entity Type
- Individual
- Name
- Tania M Niclas, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Nov 17, 2006
- Last Updated
- Oct 16, 2009
Practice Location
- Address
- 3584 W 9000 S
- Address 2
- JORDAN VALLEY MEDICAL CENTER PHYSICAL THERAPY SUITE 102
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088-5710
- Phone
- (801) 601-2309
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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