Individual
KALLIE DAWN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3903 HARRISON BLVD, 400, OGDEN, UT 84403-2314
(801) 387-2080
Mailing address
3903 HARRISON BLVD, 400, OGDEN, UT 84403-2314
(801) 387-2080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8339850-4201
UT
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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