MIRA ALIENE BETTENDORF

SOUTH SALT LAKE, UT
NPI1467191510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: UT  10853434-4202)
Enumeration Date2022-05-27
Last Update Date2022-05-27
Business Address
Miss MIRA ALIENE BETTENDORF COTA/L
2500 S STATE ST
SOUTH SALT LAKE, UT 84115-3164
Phone number: 385-646-5000
Mailing Address
Miss MIRA ALIENE BETTENDORF COTA/L
2500 S STATE ST
SOUTH SALT LAKE, UT 84115-3164
Phone number: 385-646-5000
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