Individual
MINDY CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85 E 2000 N, TOOELE, UT 84074-9280
(435) 840-8310
Mailing address
927 W 770 S, TOOELE, UT 84074-3088
(435) 840-8310
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
8034667-4003
UT
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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