Individual
MARIA LOPEZ SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2730 E 3300 S, SALT LAKE CITY, UT 84109-2819
(801) 487-0896
Mailing address
2730 E 3300 S, SALT LAKE CITY, UT 84109-2819
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
14205830-4003
UT
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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