DESTANI AMANDA ORTIZ

SANDY, UT
NPI1104665421
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy225800000X Recreation Therapist
(Licence: UT  1392825-4003)
Enumeration Date2024-05-24
Last Update Date2024-05-24
Business Address
DESTANI AMANDA ORTIZ
50 E 9000 S
SANDY, UT 84070-2201
Phone number: 801-561-9839
Mailing Address
DESTANI AMANDA ORTIZ
3588 S 4200 W APT A3
WEST VALLEY CITY, UT 84120-3272
Phone number: 801-971-9278
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