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Individual

ROBIN AHLSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
45 E STATE ST, FARMINGTON, UT 84025-2344
(801) 402-5261
Mailing address
1998 E 5850 S, SOUTH OGDEN, UT 84403-5288
(518) 368-8620

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0069491
NY
225X00000X
Occupational Therapist
Primary
9195008-4201
UT

Other

Enumeration date
08/12/2008
Last updated
02/09/2023
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