Individual
TANEISHA ESPLIN JOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3895 HARRISON BLVD, OGDEN, UT 84403-2312
(801) 387-3600
Mailing address
1748 S 2200 W, WEST HAVEN, UT 84401-7134
(435) 592-3947
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12184543-4201
UT
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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