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Individual

MEGAN EIDENSHINK SHELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
280 N MAIN ST, SECOND FLOOR, BOUNTIFUL, UT 84010-6136
(801) 292-8665
Mailing address
2199 S 300 E, APT 2, SALT LAKE CITY, UT 84115-2873
(724) 766-3227

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
8611147-4201
UT

Other

Enumeration date
04/02/2013
Last updated
11/18/2013
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