Individual
DALLIN SUDBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 585-6234
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 585-6234
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9489512-4201
UT
Other
Enumeration date
08/18/2015
Last updated
11/23/2021
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