Individual
SHYLA CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2730 E 3300 S, SALT LAKE CITY, UT 84109-2819
(801) 487-0896
Mailing address
206 N 2100 W, SALT LAKE CITY, UT 84116-4740
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7908523-4202
UT
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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