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Individual

JENNIFER ALBERTA ROMUALDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR IL

Contact information

Practice address
451 BISHOP FEDERAL LANE, SALT LAKE CITY, UT 84115
(801) 487-7557
(801) 468-6843
Mailing address
3632 PLEASANT GREEN DRIVE, MAGNA, UT 84044
(801) 250-5432

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5205834-4201
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D5319
UT
Enumeration date
12/04/2006
Last updated
07/08/2007
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