Individual
MONIQUE N AULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1510 W 5400 S, TAYLORSVILLE, UT 84123-5310
(385) 646-7078
Mailing address
2105 W 12190 S, RIVERTON, UT 84065-7535
(801) 913-8753
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7722191-4202
UT
Other
Enumeration date
05/20/2022
Last updated
06/01/2022
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