Mischa Wayan-Levine
Mischa Wayan-Levine is a Physical Therapy Assistant in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.
- Licensed in
- UT
- In the registry since
- 2016
Practice location Address checks out
1512 S Natura StSalt Lake City, UT 84104-2172
Phone: (360) 820-1015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 8603819-2402 (UT) |
|---|
Record details
| NPI number | 1366984098 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 11, 2016 |
| Last updated in NPPES | September 9, 2022 |
| Certification date | September 9, 2022 |
| Mailing address | 1512 S Natura St, Salt Lake City, UT 84104-2172 |
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