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Individual

JUSTIN ROY YARDLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
1400 N. 500 E., LOGAN, UT 84341-8434
(435) 716-2882
Mailing address
1400 N. 500 E., LOGAN, UT 84341

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7990889-4201
UT

Other

Enumeration date
06/20/2019
Last updated
06/20/2019
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