Individual
JAMIE ANN THAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1780 KEYSVIEW CT APT 12, SALT LAKE CITY, UT 84117-8049
(801) 671-2787
Mailing address
1780 KEYSVIEW CT APT 12, SALT LAKE CITY, UT 84117-8049
(801) 671-2787
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7421723-4202
UT
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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