Individual
LILY VERONICA DUROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
50 N MEDICAL DR RM 4622C, SALT LAKE CITY, UT 84132-0001
(801) 581-2132
Mailing address
258 WASHINGTON CT, SEBASTOPOL, CA 95472-3170
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10477906-4201
UT
225X00000X
Occupational Therapist
17367
CA
Other
Enumeration date
09/10/2017
Last updated
12/03/2021
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