Individual
NICOLE VICTORIA CUNDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TRT
Contact information
Practice address
375 E 5350 S, WASHINGTON TERRACE, UT 84405-6934
(801) 645-3972
Mailing address
375 E 5350 S, WASHINGTON TERRACE, UT 84405-6934
(801) 645-3972
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
126064474003
UT
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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