Individual
HARLEY ELIZABETH KVENVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(801) 263-7169
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8171728-4201
UT
Other
Enumeration date
12/05/2018
Last updated
12/20/2021
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