Individual
TIA ORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
48 W 1500 N, NEPHI, UT 84648-8900
(435) 623-3045
Mailing address
48 W 1500 N, NEPHI, UT 84648-8900
(435) 623-3045
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8753335-4102
UT
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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