Individual
ROXANN BEAUREGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, SLP
Contact information
Practice address
280 N MAIN ST, BOUNTIFUL, UT 84010-6136
(801) 292-8665
Mailing address
280 N MAIN ST, BOUNTIFUL, UT 84010-6136
(801) 292-8665
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
111555-4201
UT
235Z00000X
Speech-Language Pathologist
Primary
111555-4102
UT
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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