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Individual

MRS. KATHRYN ROSSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
2750 N DIGITAL DR, LEHI, UT 84043-6651
(814) 243-3133
Mailing address
392 E 200 N, AMERICAN FORK, UT 84003-1760
(703) 361-6982

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119003966
VA
225X00000X
Occupational Therapist
Primary
10272480-4201
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
642663-01
BC BS
MD
Enumeration date
02/06/2007
Last updated
07/21/2022
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