DARRELL LARRY

PARK CITY, UT
NPI1346616596
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AZ  4285)
Enumeration Date2015-08-11
Last Update Date2015-08-11
Business Address
-- DARRELL LARRY OTR
1640 REDSTONE CENTER DR SUITE 200
PARK CITY, UT 84098-7605
Phone number: 312-301-0411
Mailing Address
-- DARRELL LARRY OTR
1640 REDSTONE CENTER DR SUITE 200
PARK CITY, UT 84098-7605
Phone number: 312-301-0411