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NPI Code Detail

MEDICARE: MRS. AMY LORRAINE TRUJILLO P.T.

MEDICARE:  MRS. AMY LORRAINE TRUJILLO  P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1649337049
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY LORRAINE TRUJILLO P.T.
Provider Business Mailing Address
First Line : 8899 S 700 E
Second Line : SUITE 130
City : SANDY
State : UT
Zip : 84070-1810
Country : US
Telephone Number : 801-561-4121
Fax Number : 801-561-1540
Provider Business Practice Location Address
First Line : 8899 S 700 E
Second Line : SUITE 130
City : SANDY
State : UT
Zip : 84070-1810
Country : US
Telephone Number : 801-561-4121
Fax Number : 801-561-1540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2007
Last Update Date : 01/20/2010

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Directions to “ MRS. AMY LORRAINE TRUJILLO P.T.” Practice Location

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