Mirjam Ravneng, DPT Valid NPI
Individual provider · Physical Medicine & Rehabilitation Physician · Salt Lake City, UT
- NPI
- 1407401425
- Type
- Individual (Type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician (Physical Medicine & Rehabilitation)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208100000X
- License number
- 11027277-2401 (UT)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2019-08-06
- Last updated
- 2019-08-06
Practice location
575 E 4500 S
Salt Lake City, UT 84107-2973
(801) 266-3939