GENESSA OAK

LOGAN, UT
NPI1700017035
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: UT  74151104201)
Enumeration Date2009-08-04
Last Update Date2014-05-08
Business Address
-- GENESSA OAK OTR/L
209 W 300 N
LOGAN, UT 84321-3809
Phone number: 435-716-8535
Mailing Address
-- GENESSA OAK OTR/L
209 W 300 N
LOGAN, UT 84321-3809
Phone number: 435-716-8535
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