Individual
RACHELLE CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
1861 W 2300 S, WOODS CROSS, UT 84087-4906
(530) 575-6075
Mailing address
1861 W 2300 S, WOODS CROSS, UT 84087-4906
(530) 575-6075
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6878379-4201
UT
Other
Enumeration date
06/20/2012
Last updated
08/14/2014
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