Individual
MICHAEL REX EWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
55 S PROFESSIONAL WAY, PAYSON, UT 84651-5637
(801) 465-9211
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8106275-4201
UT
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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