Individual
LISA BURRASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5121 COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-2001
Mailing address
9373 S SCHMIDT CIR, WEST JORDAN, UT 84088-8778
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4949210-4201
UT
Other
Enumeration date
11/24/2010
Last updated
09/07/2014
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