Individual
GWYNETH GRACE BORZONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 E 4500 S, MILLCREEK, UT 84117-4124
(801) 712-4643
Mailing address
1201 E 4500 S, MILLCREEK, UT 84117-4124
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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