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1619613049
LISA D WATSON
SOUTH SALT LAKE, UT
NPI
1619613049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: UT 7711629-4202)
Enumeration Date
2022-05-09
Last Update Date
2022-05-09
Business Address
LISA D WATSON COTA/L
2500 S STATE ST
SOUTH SALT LAKE, UT 84115-3164
Phone number: 385-646-5000
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Mailing Address
LISA D WATSON COTA/L
4139 S 5400 W
WEST VALLEY CITY, UT 84120-4601
Phone number: 801-633-5872
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