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Individual

BONNIE PITTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
45 E STATE ST, FARMINGTON, UT 84025-2344
(801) 897-4961
Mailing address
1357 S 925 W, WOODS CROSS, UT 84087-2094
(801) 897-4961

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4756831-4201
UT

Other

Enumeration date
02/10/2023
Last updated
02/10/2023
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