Individual
JENNIFER FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3903 HARRISON BLVD, 400, OGDEN, UT 84403-2314
(801) 387-2080
Mailing address
1038 CANYON VIEW CT, FARMINGTON, UT 84025-3739
(801) 663-3645
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10098320-4201
UT
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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