DR. Evan Michael Pucillo, PT, DPT
NPI #1578961041 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1578961041
- Entity Type
- Individual
- Name
- DR. Evan Michael Pucillo, PT, DPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist - Neurology
- Credential
- PT, DPT
- Enumeration Date
- Dec 15, 2014
- Last Updated
- Sep 22, 2015
Practice Location
- Address
- 50 N MEDICAL DR
- Address 2
- 1R 5 SOM
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84132-0001
- Phone
- (801) 585-5323
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Neurology — Neurology |
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