Individual
SAMANTHA OSLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 MEDICAL DR STE B102, BOUNTIFUL, UT 84010
(385) 275-0492
Mailing address
415 MEDICAL DR STE B102, BOUNTIFUL, UT 84010-4989
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
11395256-4104
UT
Other
Enumeration date
11/01/2016
Last updated
11/22/2019
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