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Organization
UNIVERSITY OF UTAH LIFE SKILLS CLINIC
Active
Organization
UNIVERSITY OF UTAH LIFE SKILLS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUBRIANNE SQUIRE MOT, OTR/L (OCCUPATIONAL THERAPIST)
(715) 307-0501
Entity
Organization
Contact information
Practice address
540 S ARAPEEN DR STE 200, SALT LAKE CITY, UT 84108-1216
(801) 585-6837
Mailing address
540 S ARAPEEN DR STE 200, SALT LAKE CITY, UT 84108-1216
(801) 585-6837
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
9819526-4201
UT
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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