Individual
MARIAH BONET LEROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12453 S 265 W STE B, DRAPER, UT 84020-5420
(801) 443-7775
(801) 447-0107
Mailing address
12760 S PARK AVE UNIT 363, RIVERTON, UT 84065-3415
(801) 443-7775
(801) 447-0107
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
12963907-4201
UT
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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