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Stephanie Pishos

Occupational Therapist in Salt Lake City, UT. Individual provider (NPI-1).

NPI number1457583809
StatusActive
Last updated in NPPESAug 19, 2009

Details

NPI
1457583809
Entity type
Individual (NPI-1)
Name
Stephanie Pishos
Sex
Female
Sole proprietor
No
Enumeration date
Aug 19, 2009
Last updated
Aug 19, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist3360AZYes

Practice location

1952 E 7000 S Ste 100
Salt Lake City, UT 84121-6878

Phone 801-942-3311

Mailing address

Po Box 711185
Salt Lake City, UT 84171-1185

Phone 801-942-3311

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