Individual
CONSUELO ISABEL GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 N 500 W, PROVO, UT 84604-3305
(801) 377-9661
Mailing address
49 N 400 W APT 101, PROVO, UT 84601-2782
(831) 356-4744
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
14195587-4003
UT
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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