Organization
BLUE SKY THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KAHN MSOT (OCCUPATIONAL THERAPIST)
(435) 659-1746
Entity
Organization
Contact information
Practice address
1910 PROSPECTOR AVE, SUITE 201, PARK CITY, UT 84060-7211
(435) 659-1746
Mailing address
4229 SOUTHRIDGE CT, PARK CITY, UT 84098-4704
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
6267199-4201
UT
Other
Enumeration date
11/29/2007
Last updated
06/16/2008
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