Individual
JENNIFER M BANGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD OTR L
Contact information
Practice address
401 S 400 E, MOUNTAIN LAND REHABILITATION, BOUNTIFUL, UT 84010-4933
(801) 397-8154
(801) 397-8051
Mailing address
401 S 400 E, MOUNTAIN LAND REHABILITATION, BOUNTIFUL, UT 84010-4933
(801) 397-8154
(801) 397-8051
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5927273-4201
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D5312
—
UT
Enumeration date
11/17/2006
Last updated
07/08/2007
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