Organization
ELEVATED THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN VINCENT RIDER PHD, MS, OTR/L (OWNER)
(801) 717-6445
Entity
Organization
Contact information
Practice address
1395 LOGANDALE DR, LOGANDALE, NV 89021-8902
(801) 717-6445
Mailing address
PO BOX 791, LOGANDALE, NV 89021-0791
(801) 717-6445
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
03/14/2024
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