| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LUCIANA CID POVOA | 1720667694 | 2021-04-11 |
Luciana Cid Povoa is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1720667694. Registration indicates Luciana Cid Povoa is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Luciana Cid Povoa DPT |
| Practice Office Address | 100 N MARIO CAPECCHI DR SALT LAKE CITY, UT US |
| Practice Office Telephone | 8016621000 |
| Mailing Address | 4892 W FROGS LEAP DR APT 4307 SOUTH JORDAN, UT 840094731 US |
| Business Telephone | 8018347109 |
| Code | Practice | License No State |
|---|---|---|
| 225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 12060471-2401
UT |