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Home Freedom LLC

Occupational Therapist in West Haven, UT. Organization (NPI-2).

NPI number1245307313
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1245307313
Entity type
Organization (NPI-2)
Legal business name
Home Freedom LLC
Organization subpart
No
Enumeration date
Nov 30, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist225X00000XUTYes

Practice location

3448 S 5100 W
West Haven, UT 84401-9435

Phone 801-814-3303

Mailing address

3448 S 5100 W
West Haven, UT 84401-9435

Phone 801-814-3303

Authorized official

Charity Sue Davis
Manager
8018143303

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