Individual
ANN M TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
280 W 940 N, PROVO, UT 84604-3394
(801) 374-4800
Mailing address
280 W 940 N, PROVO, UT 84604-3394
(801) 374-4800
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
11157546-4202
UT
225X00000X
Occupational Therapist
Primary
11157546-4202
UT
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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