Individual
MR. JASON JAMES HENRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1068 E 200 S, SPRINGVILLE, UT 84663-2712
(801) 489-4461
Mailing address
1871 E 750 S, SPRINGVILLE, UT 84663-3224
(801) 489-4461
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7712326-4201
UT
Other
Enumeration date
03/17/2012
Last updated
01/03/2013
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