Individual
ANITA BEALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
48 W 1500 N, NEPHI, UT 84648-8900
(435) 623-3045
Mailing address
2550 W 7460 S, WEST JORDAN, UT 84084-3163
(801) 739-5131
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9811496-4201
UT
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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