Individual
NATASHIA REA CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
Mailing address
2958 E WAILUA WAY, HOLLADAY, UT 84117-6439
(801) 259-6678
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12472518-4201
UT
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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