Individual
BRIANNA LASITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 E WILMINGTON AVE, SALT LAKE CITY, UT 84106-2851
(801) 486-6000
Mailing address
847 E EMERSON AVE, SALT LAKE CITY, UT 84105-2218
(631) 880-2272
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13161916-4201
UT
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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