Individual
RHONDA LYNN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 S 200 W, BRIGHAM CITY, UT 84302-3333
(435) 723-5289
Mailing address
815 S 200 W, BRIGHAM CITY, UT 84302-3333
(435) 723-5289
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
13467966-4003
UT
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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