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NPI Code Detail

MEDICARE: LAURA LIMB

MEDICARE: LAURA LIMB
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
1225800000XRecreation Therapist286355-4003UT

General Provider Information

NPI Number : 1669211983
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA LIMB
Provider Business Mailing Address
First Line : 8621 W EQUINOX CIR
Second Line :
City : COPPERTON
State : UT
Zip : 84006-1211
Country : US
Telephone Number : 801-450-8191
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 : 05/24/2024
Last Update Date : 05/24/2024

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Directions to “ LAURA LIMB ” Practice Location

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