Individual
ARIELLE FREDERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1034 N 500 W FL 11, PROVO, UT 84604-3337
(801) 357-7009
Mailing address
207 S 300 E, PROVO, UT 84606-4743
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12019331-4201
UT
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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