Individual
RYAN ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12637 S 265 W, DRAPER, UT 84020-5400
(435) 660-6850
Mailing address
12637 S 265 W, DRAPER, UT 84020-5400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114013824201
UT
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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