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Bergen D Russon
Recreation Therapist in South Jordan, Utah
NPI 1861952913

Bergen D Russon is a Recreation Therapist based in South Jordan, UT. Bergen D Russon practices in South Jordan, UT. The NPI Number for Bergen D Russon is 1861952913 and holds a License No. 11046853-4002 (Utah).

The current practice location address for Bergen D Russon is 11175 S Redwood Rd, South Jordan, UT and can be reached out via phone at 801-359-4600.

Location: 11175 S Redwood Rd, South Jordan, UT, 84095-8208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861952913
Provider Name
Bergen D Russon
Credential
Provider Entity Type
Individual
Gender
Female
Address
11175 S Redwood Rd, South Jordan, UT, 84095-8208
Phone Number
801-359-4600
Fax Number
Provider Enumeration Date
03/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11175 S Redwood Rd
City
South Jordan
State
Utah
Zip
84095-8208
Phone Number
801-359-4600
Fax Number
person
Provider Business Mailing Address Details
Address
11175 S Redwood Rd
City
South Jordan
State
Utah
Zip
84095-8208
Phone Number
801-359-4600
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Recreation Therapist
Speciality
-
Taxonomy
225800000X
License No.
11046853-4002 (Utah)
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
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