Individual
AMY JO ROSELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3845 W 4700 S, TAYLORSVILLE, UT 84118-3454
(801) 840-4374
Mailing address
3845 W 4700 S, TAYLORSVILLE, UT 84118-3454
(801) 840-4374
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
341323-4201
UT
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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