Organization
CONNECTED 2 THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYME LOVELL (CREDENTIALING SPECIALIST)
(801) 203-0533
Entity
Organization
Contact information
Practice address
10 W BROADWAY FL 7, SALT LAKE CITY, UT 84101-2060
(801) 604-0689
Mailing address
10 W BROADWAY FL 7, SALT LAKE CITY, UT 84101-2060
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/31/2023
Last updated
05/20/2024
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