Individual
SHAWNEE BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2472 S 300 E, SALT LAKE CITY, UT 84115-2895
(801) 466-2211
Mailing address
206 N 2100 W, SALT LAKE CITY, UT 84116-4740
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10407080-4201
UT
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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