Individual
KATRINA LEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
578 W 1850 N, PROVO, UT 84604-3211
(408) 340-0571
Mailing address
578 W 1850 N, PROVO, UT 84604-1473
(408) 340-0571
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10943394-4201
UT
Other
Enumeration date
03/13/2019
Last updated
03/21/2022
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