Individual
KILEY JANE PATANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
100 N MEDICAL DR, SLC, UT 84113-1103
(801) 588-3939
Mailing address
100 N MEDICAL DR, SLC, UT 84113-1103
(801) 588-3939
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
356824-4201
UT
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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