Individual
SHERRY BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4782 S HOLLADAY BLVD, HOLLADAY, UT 84117-5444
(801) 277-7002
Mailing address
3344 W SPRINGBROOK DR, WEST JORDAN, UT 84084-3653
(801) 898-5153
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9080763-4202
UT
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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