Individual
CARSON BEVAN LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(800) 507-7000
Mailing address
11100 S RIVER HEIGHTS DR APT D202, SOUTH JORDAN, UT 84095-6231
(435) 851-4473
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9003882-4201
UT
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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