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1013522499
ZACHERY ELLIS
MURRAY, UT
NPI
1013522499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 11891337-4201)
Enumeration Date
2020-09-11
Last Update Date
2024-03-21
Business Address
Mr. ZACHERY ELLIS OTR/L
5848 S 300 E
MURRAY, UT 84107-6157
Phone number: 801-314-4040
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Mailing Address
Mr. ZACHERY ELLIS OTR/L
PO BOX 25537
SALT LAKE CITY, UT 84125-0537
Phone number:
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