Individual
BONNIE FERNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
1803 S LAURELHURST DR, SALT LAKE CITY, UT 84108-3337
(435) 862-7040
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XR0403X
Driving and Community Mobility Occupational Therapist
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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