Individual
MR. KEITH P COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
1000 HIGHWAY 6, PAYSON, UT 84651-1600
(801) 465-7070
(801) 465-7001
Mailing address
380 E 400 S, SPRINGVILLE, UT 84663-1958
(801) 489-5669
(801) 489-5783
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4832156-4201
UT
Other
Enumeration date
04/12/2007
Last updated
08/22/2007
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