Individual
MRS. KELLY LYNN HEINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1952 EAST 7000 S, 100, SALT LAKE CITY, UT 84121
(801) 942-3311
(801) 943-3989
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171
(801) 942-3311
(801) 943-3989
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3680884202
UT
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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