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NPI Code Detail

MEDICARE: MR. DARIN ANTHONY BOUWHUIS OTR/L

MEDICARE: MR. DARIN ANTHONY BOUWHUIS OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0019XPhysical Rehabilitation Occupational Therapist355391-4201UT

General Provider Information

NPI Number : 1447561733
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DARIN ANTHONY BOUWHUIS OTR/L
Provider Business Mailing Address
First Line : 2717 S 800 E
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-1748
Country : US
Telephone Number : 801-485-3432
Fax Number :
Provider Business Practice Location Address
First Line : 50 E 9000 S
Second Line :
City : SANDY
State : UT
Zip : 84070-2201
Country : US
Telephone Number : 801-561-9839
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2010
Last Update Date : 07/01/2010

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