| Podera Therapy | |
|
8176 N Oconnell Ln Eagle Mountain UT 84005-5813 | |
| (385) 351-5473 | |
| Not Available |
| Full Name | Podera Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8176 N Oconnell Ln, Eagle Mountain, Utah |
| Authorized Official Name and Position | Roman Laws (OWNER) |
| Authorized Official Contact | 2082441702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Podera Therapy Po Box 174 Cedar Valley UT 84013-0174 Ph: () - | Podera Therapy 8176 N Oconnell Ln Eagle Mountain UT 84005-5813 Ph: (385) 351-5473 |
| NPI Number | 1053186825 |
|---|---|
| Provider Enumeration Date | 11/21/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053186825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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