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1760623292
TERESA DIRK
SALT LAKE CITY, UT
NPI
1760623292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AZ 2961)
Enumeration Date
2009-03-12
Last Update Date
2009-03-12
Business Address
-- TERESA DIRK
1952 E 7000 S
SALT LAKE CITY, UT 84121-6877
Phone number: 801-942-3311
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Mailing Address
-- TERESA DIRK
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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