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Organization
RED ROCK PEDIATRIC THERAPIES
Active
Organization
RED ROCK PEDIATRIC THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA ANN DURRANT CCC-SLP (CO-OWNER)
(801) 885-2158
Entity
Organization
Contact information
Practice address
2845 E 1140 S, ST GEORGE, UT 84790-1648
(801) 885-2158
Mailing address
2845 E 1140 S, ST GEORGE, UT 84790-1648
(801) 885-2158
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407146905
PERSONAL NPI FOR SPEECH PROVIDER
—
01
—
1831828284
PERSONAL NPI FOR SPEECH PROVIDER
—
Enumeration date
09/11/2023
Last updated
09/11/2023
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