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Individual

ASHLEIGH MARIE CAUDILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, OTR/L

Contact information

Practice address
9384 S 670 W, SANDY, UT 84070-6667
(801) 443-7775
(801) 447-0107
Mailing address
PO BOX 95602, SOUTH JORDAN, UT 84095-0602
(801) 443-7775
(801) 447-0107

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9865993-4201
UT

Other

Enumeration date
08/23/2016
Last updated
08/23/2016
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