Individual
LANCE BROWN DEARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2619
(801) 581-2525
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2619
(801) 581-2525
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
329286-4201
UT
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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