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IRENE ACEVEDO MS, PT, CERT MDT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1437254695

Individual Registrant:
 IRENE  ACEVEDO MS, PT, CERT MDT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4885 S 900 E SUITE 107 SALT LAKE CITY, UT 84117-5746 US
Tel: 801-979-4722  Fax: 801-266-0421

Contact information for business:
3501 LOREN VON DR  SALT LAKE CITY, UT 84124-3816 US
Tel: 801-979-4722  Fax: 801-266-0421

Registration Information:
NPI: 1437254695
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
UT5804957-2401

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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