Individual
MS. EILEEN GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
3326 ELGIN DR, SALT LAKE CITY, UT 84109-4202
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
327982-4201
UT
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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