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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARIE DUFRESNE BAMBO, PT

Active Sole Proprietor

Physical Therapy Assistant · SALT LAKE CITY, UT

Registration Details

NPI Number
1063544260
Provider Type
Individual
Gender
Female
NPI Issued
Mar 12, 2007 (19.139273118759 yrs)
Last Updated
Jul 8, 2007
License
117517-2401 (UT)
Sole Proprietor
Yes

Practice Information

Address
1685 W 2200 S
SALT LAKE CITY, UT, 841191456
Browse UT providers · Browse ZIP 84119
Phone
8018875455
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SALT LAKE CITY, UT

Name Credential NPI
GAIL MARIETTA PT 1952302630
STEVEN G CRANDALL PT, DPT, OCS 1154322816
RYAN R FUHRIMAN PT, DPT, ATC 1609877372
BEVAN D BLAKE PT, DPT 1114928868
CHERYL A FARNSWORTH MPT 1720089485
BONNIE ROSS BUTLER PT,OCS,CSCS 1255332938
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.