Individual
IAN PAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
350 N STATE ST, LINDON, UT 84042-1830
(801) 610-8200
Mailing address
350 N STATE ST, LINDON, UT 84042-1830
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11948648-4202
UT
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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