Individual
HANNAH CLOVER NEILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1480 N 400 E, LOGAN, UT 84341-7525
(435) 750-5501
Mailing address
1645 S 1050 W, VERNAL, UT 84078-4635
(801) 884-9475
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
138106904003
UT
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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