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Individual

ERIKA LORENE CORNELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
280 N MAIN ST, 2ND FLOOR, BOUNTIFUL, UT 84010-6136
(801) 292-8665
Mailing address
280 N MAIN ST, 2ND FLOOR, BOUNTIFUL, UT 84010-6136
(801) 682-1168

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8339590-4201
UT

Other

Enumeration date
06/06/2012
Last updated
06/06/2012
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