AARON EUGENE DEGRISELLES

PROVO, UT
NPI1013578285
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225800000X Recreation Therapist
(Licence: UT  10185004-4002)
Enumeration Date2019-06-27
Last Update Date2019-06-27
Business Address
AARON EUGENE DEGRISELLES CTRS
1300 E CENTER ST
PROVO, UT 84606-3554
Phone number: 801-344-4226
Mailing Address
AARON EUGENE DEGRISELLES CTRS
1566 S 600 E
SPRINGVILLE, UT 84663
Phone number: 801-680-8079