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Search › Utah › Recreation Therapist

Bergen Russon

NPI 1861952913 · on the registry since 2019

Practice

Address
11175 S Redwood Rd
South Jordan, UT 84095
Phone
(801) 359-4600
Organisation at this address
Matthew Maya
Stillwater Academy
Parents Helping Parents
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
Recreation Therapist
225800000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-03-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah