Individual
LEAH MANCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1205 E 4725 S, SALT LAKE CITY, UT 84117-4917
(801) 262-2908
Mailing address
1205 E 4725 S, SALT LAKE CITY, UT 84117-4917
(801) 262-2908
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
100047-4201
UT
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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