Lanieline Tapang Carbungco
Physical Therapist in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1285963546
StatusActive
Last updated in NPPESDec 16, 2009
Details
- NPI
- 1285963546
- Entity type
- Individual (NPI-1)
- Name
- Lanieline Tapang Carbungco
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2009
- Last updated
- Dec 16, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 7505117-2401 | UT | Yes |
Practice location
1952 E 7000 S Ste 100Salt Lake City, UT 84121-6878
Phone 801-942-3311 · Fax 801-942-5955
Mailing address
Po Box 711185Salt Lake City, UT 84171-1185
Phone 801-942-3311 · Fax 801-942-5955
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