Individual
JOLYNNE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
575 N 100 E, AMERICAN FORK, UT 84003-1758
(801) 602-5668
Mailing address
1782 N 400 E, OREM, UT 84097-2239
(801) 602-5668
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5268679-4201
UT
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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