Individual
MIRANDA ANITA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3000 N TRIUMPH BLVD # 310, LEHI, UT 84043-4999
(801) 766-4244
Mailing address
4460 S HIGHLAND DR STE 210, SALT LAKE CITY, UT 84124-3550
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12310365-4201
UT
Other
Enumeration date
10/02/2019
Last updated
06/30/2021
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