Individual
HEATHER ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8TH AVENUE C ST E, SALT LAKE CITY, UT 84143-0001
(801) 408-1100
Mailing address
3175 S IMPERIAL ST, MILLCREEK, UT 84106-3757
(801) 979-6104
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
12923455-4201
UT
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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