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Individual

MR. JONATHAN GLEN FARRINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
4568 SOUTH HIGHLAND DRIVE SUITE 270, HOLLADAY, UT 84117
(801) 633-4126
Mailing address
4568 S HIGHLAND DR STE 270, HOLLADAY, UT 84117-4254
(801) 633-4126

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
76242444201
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7624244-4201
DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING
UT
Enumeration date
11/02/2010
Last updated
01/11/2016
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