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Organization

CACHE VALLEY HAND THERAPY LLC

Active
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Organization

CACHE VALLEY HAND THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN GODFREY OTR/L, CHT (OCCUPATIONAL THERAPIST)
(435) 563-2546
Entity
Organization

Contact information

Practice address
2310 N 400 E STE D, NORTH LOGAN, UT 84341-1788
(435) 774-8562
(435) 774-8582
Mailing address
PO BOX 123, CLARKSTON, UT 84305-0123
(435) 563-2546

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary

Other

Enumeration date
07/30/2019
Last updated
11/22/2019
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