Individual
MR. JESSE MAX ROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
425 S VERNAL AVE, VERNAL, UT 84078-3237
(435) 781-1502
(435) 781-1505
Mailing address
590 E 100 N, SUITE 1 & 2, PRICE, UT 84501-2640
(435) 613-1500
(435) 613-1502
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7364777-4201
UT
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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