Individual
HEATHER CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PTA
Contact information
Practice address
11 E 200 N, OREM, UT 84057-4737
(801) 226-1919
(801) 224-4081
Mailing address
3781 S SALT LICK CIR, MAGNA, UT 84044-2366
(801) 628-5843
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
8350208-3102
UT
225200000X
Physical Therapy Assistant
8350208-2402
UT
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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