LACEY BASCOM REYNOLDS

PROVO, UT
NPI1144533993
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: UT  8428814-4201)
Enumeration Date2010-07-22
Last Update Date2023-05-02
Business Address
LACEY BASCOM REYNOLDS OT
1165 E 300 N
PROVO, UT 84606-3539
Phone number: 801-852-4525
Mailing Address
LACEY BASCOM REYNOLDS OT
1165 E 300 N
PROVO, UT 84606-3539
Phone number: 801-852-4525
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