Individual
MS. TYRENE L CHRISTOPULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2760 RASMUSSEN RD, PARK CITY, UT 84098-5684
(801) 232-9349
Mailing address
2760 RASMUSSEN RD, PARK CITY, UT 84098-5684
(801) 232-9349
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6078767-4201
UT
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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