Organization
COPPER MOUNTAIN SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA A. BRUSO CCC-SLP (OWNER, CLINICIAN)
(385) 246-2684
Entity
Organization
Contact information
Practice address
1218 W SOUTH JORDAN PKWY STE C, SOUTH JORDAN, UT 84095-5517
(385) 246-2684
Mailing address
1218 W SOUTH JORDAN PKWY STE C, SOUTH JORDAN, UT 84095-5517
(385) 246-2684
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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