Individual
DANIELLA LONGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
280 N MAIN ST, BOUNTIFUL, UT 84010-6136
(801) 662-4949
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(801) 662-4949
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
129617924201
UT
Other
Enumeration date
07/11/2021
Last updated
04/11/2023
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