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Individual

KIM SCHNEIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTRL

Contact information

Practice address
5991 S 3500 W, SUITE 300, ROY, UT 84067-6701
(801) 985-2700
(801) 985-2707
Mailing address
PO BOX 3497, STURTEVANT, WI 53177-0300
(877) 552-2996
(866) 245-8064

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
338062-4201
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881795797
UT
05
870502207001
UT
Enumeration date
09/25/2006
Last updated
04/01/2014
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