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Individual

CATHERINE STONEBRAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
25 ALPINE AVE, PLEASANT GROVE, UT 84062-3511
(801) 785-3568
Mailing address
936 W 1290 N, PLEASANT GROVE, UT 84062-9214
(801) 560-0008

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7905154-4201
UT

Other

Enumeration date
05/16/2012
Last updated
05/16/2012
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