Individual
DEANNE BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 E STATE ST, FARMINGTON, UT 84025-2344
(801) 402-1250
Mailing address
1368 S PARK ST, SALT LAKE CITY, UT 84105-2031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12912779-4102
UT
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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