Individual
DARBY MELESSE HERRMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7850
Mailing address
627 S 300 E, PLEASANT GROVE, UT 84062-3603
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12896614-4201
UT
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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