Individual
PAMELA FURNISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
775 N 200 E, BRIGHAM CITY, UT 84302-1303
(435) 723-7777
Mailing address
206 N 2100 W, SALT LAKE CITY, UT 84116-4740
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10423548-4202
UT
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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