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1821688037
MELISSA MARIE WALL
HIGHLAND, UT
NPI
1821688037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: UT 7367725-4202)
Enumeration Date
2021-01-21
Last Update Date
2021-01-21
Business Address
MELISSA MARIE WALL COTA/L
5870 W 10400 N STE C
HIGHLAND, UT 84003-9640
Phone number: 801-756-8900
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Mailing Address
MELISSA MARIE WALL COTA/L
4909 S ATWOOD BLVD UPSTAIRS UNIT
MURRAY, UT 84107
Phone number: 801-698-7485
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