Organization
AVENUES HEALTHCARE, INC.
Active
Other names
City Creek Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
165 S 1000 E, SALT LAKE CITY, UT 84102-1402
(801) 322-5521
Mailing address
165 S 1000 E, SALT LAKE CITY, UT 84102-1402
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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