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1871369827
MIRANDA BERCHTOLD IPSEN
OGDEN, UT
NPI
1871369827
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 13430993-4201)
Enumeration Date
2023-11-30
Last Update Date
2023-11-30
Business Address
MIRANDA BERCHTOLD IPSEN OTR/L
4401 HARRISON BLVD
OGDEN, UT 84403-3195
Phone number: 801-387-2800
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Mailing Address
MIRANDA BERCHTOLD IPSEN OTR/L
4401 HARRISON BLVD
OGDEN, UT 84403-3195
Phone number:
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