Individual
ALYSSA ANN MANGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
900 ROUND VALLEY DR STE 200, PARK CITY, UT 84060-7552
(435) 658-7400
Mailing address
435 ASPEN DR APT 8, PARK CITY, UT 84098-5190
(419) 512-1368
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9086925-4201
UT
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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