DEREK LARSEN

SALT LAKE CITY, UT
NPI1649813809
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: UT  9066136-4201)
Enumeration Date2019-10-21
Last Update Date2021-12-15
Business Address
DEREK LARSEN MOTR/L
76 S 500 E
SALT LAKE CITY, UT 84102-1044
Phone number: 801-359-0050
Mailing Address
DEREK LARSEN MOTR/L
3423 S 100 W
BOUNTIFUL, UT 84010-6639
Phone number:
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