Individual
MRS. NATALIE TIPPETS MUDROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
1506 UNIVERSITY VLG, SALT LAKE CITY, UT 84108-3522
(801) 585-4851
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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