Individual
VANESSA BANGERTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 WAKARA WAY, SALT LAKE CITY, UT 84108-1213
(801) 840-8484
Mailing address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-5000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6539940-4201
UT
Other
Enumeration date
07/27/2010
Last updated
05/16/2022
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