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1154753374
KRISANNE LEWIS
SALT LAKE CITY, UT
NPI
1154753374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: UT 50138884201)
Enumeration Date
2013-07-30
Last Update Date
2013-07-30
Business Address
-- KRISANNE LEWIS MOT, OTR/L
540 S ARAPEEN DR STE 200
SALT LAKE CITY, UT 84108-1216
Phone number: 801-585-6837
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Mailing Address
-- KRISANNE LEWIS MOT, OTR/L
941 ALTON DR
NORTH SALT LAKE, UT 84054-6065
Phone number: 801-657-9676
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