Organization
UTAH AUTISM ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA NELSON (EXECUTIVE DIRECTOR)
(801) 906-1553
Entity
Organization
Contact information
Practice address
7434 S STATE ST, MIDVALE, UT 84047-2014
(801) 456-9955
Mailing address
7434 S STATE ST, MIDVALE, UT 84047-2014
(801) 456-9955
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8050057-4201
UT
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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