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Organization
BOUNCE THERAPY LLC
Active
Organization
BOUNCE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA CLARK OTR/L (OCCUPATIONAL THERAPIST)
(435) 655-1210
Entity
Organization
Contact information
Practice address
6318 VIEW DR, PARK CITY, UT 84098-6156
(435) 655-1210
Mailing address
6318 VIEW DR, PARK CITY, UT 84098-6156
(435) 655-1210
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
—
NULL
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XE1200X
Ergonomics Occupational Therapist
—
NULL
225XE1200X
Ergonomics Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
NULL
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XG0600X
Gerontology Occupational Therapist
—
NULL
225XG0600X
Gerontology Occupational Therapist
—
—
225XL0004X
Low Vision Occupational Therapist
—
NULL
225XL0004X
Low Vision Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
NULL
225XM0800X
Mental Health Occupational Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
NULL
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
NULL
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
NULL
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
05/11/2023
Last updated
06/27/2023
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