Individual
LANE FUTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
753 E 360 S, OREM, UT 84097-6404
(801) 400-5128
Mailing address
753 E 360 S, OREM, UT 84097-6404
(801) 400-5128
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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