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1386178564
ALISSA BULLARD
SALT LAKE CITY, UT
NPI
1386178564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 9428385-4201)
Enumeration Date
2017-04-14
Last Update Date
2017-04-14
Business Address
-- ALISSA BULLARD MOT, OTR/L
50 N MEDICAL DR 1R73 SOM
SALT LAKE CITY, UT 84132-0001
Phone number: 801-213-7311
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Mailing Address
-- ALISSA BULLARD MOT, OTR/L
50 N MEDICAL DR 1R73 SOM
SALT LAKE CITY, UT 84132-0001
Phone number: 801-213-7311
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