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Individual

EMILY PRIDGEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5314 N RIVER RUN DR, SUITE 140, PROVO, UT 84604
(480) 946-6571
Mailing address
4630 S LAKESHORE DR, APT 253, TEMPE, AZ 85282-7164

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5460
AZ

Other

Enumeration date
09/08/2014
Last updated
09/08/2014
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