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Individual

BLAIRE BIBBINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSOT

Contact information

Practice address
576 W 900 S STE 106, WOODS CROSS, UT 84010-8194
(801) 693-2310
Mailing address
490 MONROE AVE, GREEN RIVER, WY 82935-3500

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1511
WY

Other

Enumeration date
01/11/2021
Last updated
01/11/2021
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