Individual
ANDREA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3768 S 1215 E, MILLCREEK, UT 84106-2430
(385) 455-4549
Mailing address
3768 S 1215 E, MILLCREEK, UT 84106-2430
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
11972653-4201
UT
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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