Individual
EMMA BREEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12453 S 265 W STE B, DRAPER, UT 84020-5420
(801) 443-7775
Mailing address
PO BOX 363, RIVERTON, UT 84065-0363
(801) 443-7775
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12929120-4102
UT
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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