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Individual

MR. SAMUEL J DELONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTD, OTRL

Contact information

Practice address
1992 W ANTELOPE DR, SUITE 1-D, LAYTON, UT 84041-4953
(801) 773-2633
(801) 773-1553
Mailing address
1992 W ANTELOPE DR, SUITE 1-D, LAYTON, UT 84041-4953
(801) 773-2633
(801) 773-1553

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
6717526-4201
UT

Other

Enumeration date
07/19/2006
Last updated
11/02/2015
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