Individual
ELLA GILDA FITZMAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9361 S 300 E, SANDY, UT 84070-2902
(801) 826-5000
Mailing address
9906 S WILDFLOWER RD, SANDY, UT 84092-3803
(801) 915-2554
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5003588-4201
UT
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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