Wayan-Levine, Mischa

Wayan-Levine, Mischa is an sole proprietor health care provider with primary practice located at 1512 S Natura St , Salt Lake City UT 84104-2172. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Wayan-Levine, Mischa can be contacted via phone (360) 820-1015.

Contact Information

Primary practice address
1512 S Natura St Salt Lake City UT 84104-2172
Phone: (360) 820-1015
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 8603819-2402 Utah

Profile Details

NPI number 1366984098
LBN Legal business name Wayan-Levine, Mischa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2016
Last updated Sep 9th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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