Individual
DOMINIC JON ECHEVERRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1952 E 7000 S, SALT LAKE CITY, UT 84121-6877
(801) 942-3311
(801) 495-5303
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185
(801) 942-3311
(801) 495-5303
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7028435-4201
UT
Other
Enumeration date
06/17/2008
Last updated
12/06/2021
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