Individual
MRS. CAMILLE LISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3845 W 4700 S, TAYLORSVILLE, UT 84118-3454
(801) 840-2191
(801) 840-2197
Mailing address
3845 W 4700 S, TAYLORSVILLE, UT 84118-3454
(801) 840-2191
(801) 840-2197
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
7022275-4201
UT
Other
Enumeration date
06/04/2008
Last updated
02/13/2009
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