Individual
ANDREW JAY BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
867 S 800 W, PLEASANT GROVE, UT 84062-4505
(801) 785-0919
Mailing address
867 S 800 W, PLEASANT GROVE, UT 84062-4505
(801) 785-0919
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12985298-4202
UT
Other
Enumeration date
05/09/2023
Last updated
05/23/2023
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