Individual
AMY GWYNN DART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
48 W 1500 N, NEPHI, UT 84648-8900
(435) 623-3065
Mailing address
509 S 575 W UNIT 12, SPRINGVILLE, UT 84663-3318
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
129708324102
UT
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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