Individual
TIFFANY WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3497 W 3500 S, WEST VALLEY CITY, UT 84119-2537
(801) 417-5017
Mailing address
3326 W 5820 S, TAYLORSVILLE, UT 84129-7130
(801) 706-6819
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5649759-4201
UT
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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