Individual
MACIE ANN DUNGAN HERMOSILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
400 S MILL POND DR E, LEHI, UT 84043
(801) 987-6333
Mailing address
9081 N MILL CREEK CV, CEDAR HILLS, UT 84062-8015
(503) 608-8302
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14228531-4201
UT
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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