Individual
PENGCHEN ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11496572-4201
UT
Other
Enumeration date
07/28/2020
Last updated
09/09/2020
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