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Individual

ALLISON MERRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(435) 657-4690
Mailing address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(435) 658-7350

Taxonomy

Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
80464043-4201
UT
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
8046043-4201
UT

Other

Enumeration date
07/23/2014
Last updated
02/08/2019
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