Individual
KATHLEEN MANGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
350 S 400 E, CARE OF THE CHILDREN'S CENTER, SALT LAKE CITY, UT 84111-2908
(801) 318-7362
(801) 582-5540
Mailing address
350 S 400 E, CARE OF THE CHILDREN'S CENTER, SALT LAKE CITY, UT 84111-2908
(801) 318-7362
(801) 582-5540
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
77195384201
UT
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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