Danielle Marie Jacketta

NPI 1174840870 - Occupational Therapist - 225X00000X

NPI Details
NPI 1174840870
Gender Female
Enumeration Date 04/21/2010
Last Updated 04/21/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
1952 E 7000 S STE 100
SALT LAKE CITY UT, 84121-6878, US
Phone (801) 942-3311
Fax (801) 942-5955
Business Location
PO BOX 711185
SALT LAKE CITY UT, 84171-1185, US
Phone (801) 942-3311
Fax (801) 942-5955
Taxonomy Code 225X00000X
License State Utah
License Number 342380-4201
Remove 1174840870 NPI Number

According to our database, Danielle Marie Jacketta NPI is 1174840870, taxonomy code is 225X00000X and license number is 342380-4201, license state is located at Utah. Danielle Marie Jacketta physically located at 1952 E 7000 S Ste 100, Salt Lake City UT, 84121-6878. NPI Number Danielle Marie Jacketta has the Individual type.

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1174840870 NPI number is provided on an as is basis without warranty of any kind. 1174840870 is maintained by the National Plan & Provider Enumeration System. The contents of Danielle Marie Jacketta are for informational purposes only.