Individual
JAMES BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2132
Mailing address
854 S 200 E, FARMINGTON, UT 84025-2101
(801) 856-6034
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
290174-4202
UT
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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