Individual
DENISE A HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 S 400 E APT 111, SLC, UT 84111-2161
(385) 209-8765
Mailing address
134 S 400 E APT 111, SLC, UT 84111-2161
(385) 209-8765
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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