Individual
AMY LEE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 E 9000 S, SANDY, UT 84070-2201
(801) 561-9839
Mailing address
1516 E SANTIAGO LN # LANE11, COTTONWOOD HEIGHTS, UT 84121-6423
(385) 775-4019
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
294808-4003
UT
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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