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Individual

MRS. CORINNE QUDSIYIH SHEAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR-L

Contact information

Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
575 CUTLER DR, NORTH SALT LAKE, UT 84054-2953

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
12544
CA
225XP0200X
Pediatric Occupational Therapist
Primary
9621933-4201
UT
225XP0200X
Pediatric Occupational Therapist

Other

Enumeration date
07/27/2012
Last updated
12/09/2022
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