Individual
SAVANNAH VICTORIA SUMMER SIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
765 E MARKET PLACE DR, SPANISH FORK, UT 84660-1396
(385) 344-5000
Mailing address
1133 E 300 S, PROVO, UT 84606-5155
(480) 262-2535
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
138356364201
UT
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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