Individual
MARK WHEELWRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5108 S 3500 W, ROY, UT 84067-9422
(801) 820-3004
Mailing address
5108 S 3500 W, ROY, UT 84067-9422
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5493382-4202
UT
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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