Individual
AYLEEN J GASTELUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5540 S 1050 E, OGDEN, UT 84405-7078
(801) 479-8455
Mailing address
3308 QUINCY AVE, OGDEN, UT 84403-1133
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
14258410-4003
UT
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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