| Daniella Longan, OT | |
|
280 N Main St, Bountiful, UT 84010-6136 | |
| (801) 662-4949 | |
| Not Available |
| Full Name | Daniella Longan |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 280 N Main St, Bountiful, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740852755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 129617924201 (Utah) | Primary |
| Provider Name | Ihc Health Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniella Longan, OT Po Box 30180, Salt Lake City, UT 84130-0180 Ph: (801) 662-4949 | Daniella Longan, OT 280 N Main St, Bountiful, UT 84010-6136 Ph: (801) 662-4949 |
Ruth Jensen Walton, MOT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 79 E Center St, Bountiful, UT 84010 Phone: 801-230-9705 | |
Mrs. Jessica Keely Wahl, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 N Main St, Bountiful, UT 84010 Phone: 016-624-9498 | |
Mr. Todd Lewis Hanna, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 South 400 East, Mountain Land Rehabiliation, Bountiful, UT 84010 Phone: 801-397-8151 Fax: 901-397-8051 | |
Global Therapies Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2280 S 750 E, Bountiful, UT 84010 Phone: 801-455-8163 | |
Anna Cole Mctish, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 N Main St, # 2, Bountiful, UT 84010 Phone: 801-292-8665 | |
Erika Lorene Cornella, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 N Main St, 2nd Floor, Bountiful, UT 84010 Phone: 801-292-8665 | |
Valerie Duffin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 N Main St # 2, Bountiful, UT 84010 Phone: 801-292-8665 |