Individual
ELISSA CORAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
135 S 300 E, SPRINGVILLE, UT 84663-1935
(801) 369-1726
Mailing address
135 S 300 E, SPRINGVILLE, UT 84663-1935
(801) 369-1726
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
441087
UT
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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