Individual
JOSE XAVIER LUCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2132
Mailing address
5663 BONICA LN, HERRIMAN, UT 84096-1741
(970) 590-9166
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1313
CO
Other
Enumeration date
02/02/2012
Last updated
12/21/2021
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