Individual
JENILARA OBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
PO BOX 510721, SALT LAKE CITY, UT 84151-0721
(801) 587-6872
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
67038524002
UT
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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