Individual
PRISCILLA MELENA HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5688 HARRISON BLVD, SOUTH OGDEN, UT 84403-4323
(801) 626-8933
(801) 626-8764
Mailing address
5688 HARRISON BLVD, SOUTH OGDEN, UT 84403-4323
(801) 626-8933
(801) 626-8764
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6345097-4201
UT
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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