Individual
MR. TYLER SASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3893 N JACKSON AVE, NORTH OGDEN, UT 84414-6502
(801) 726-9742
Mailing address
269 E 1150 N, HARRISVILLE, UT 84404-4082
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
52017004202
UT
Other
Enumeration date
10/04/2007
Last updated
08/22/2023
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