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
State
Utah
ZIP Code
84088-5710
Phone
(801) 601-2309

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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