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Individual

MCKENZIE STCLAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR-L

Contact information

Practice address
133 W CANLEY VALE LN, SOUTH SALT LAKE, UT 84115-3160
(801) 995-9270
Mailing address
133 W CANLEY VALE LN, SOUTH SALT LAKE, UT 84115-3160
(801) 995-9270

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12414175-4201
UT

Other

Enumeration date
05/15/2022
Last updated
05/15/2022
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