Individual
ANNA COLE MCTISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
280 N MAIN ST, # 2, BOUNTIFUL, UT 84010-6136
(801) 292-8665
Mailing address
280 N MAIN ST, # 2, BOUNTIFUL, UT 84010-6136
(801) 292-8665
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9421753-4201
UT
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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