Individual
PETER HASSANZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1952 E 7000 S, SALT LAKE CITY, UT 84121-6877
(801) 942-3311
Mailing address
1952 E 7000 S, SALT LAKE CITY, UT 84121-6877
(801) 942-3311
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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