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Individual

JACE EDWARD ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
13 E. CENTER STREET, GUNNISON, UT 84634
(435) 528-7575
Mailing address
PO BOX 396, GUNNISON, UT 84634-0396
(435) 528-7575
(435) 528-7000

Taxonomy

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

Other

Enumeration date
06/05/2018
Last updated
01/24/2023
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