KYLIE GRACE ORTIZ

LOGAN, UT
NPI1194403568
Former NameKYLIE GRACE WALKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: UT  13456977-4201)
Enumeration Date2023-07-06
Last Update Date2023-07-06
Business Address
KYLIE GRACE ORTIZ MOT, OTR/L
1400 N 500 E
LOGAN, UT 84341-2455
Phone number: 435-716-6440
Mailing Address
KYLIE GRACE ORTIZ MOT, OTR/L
PO BOX 103
WELLSVILLE, UT 84339-0103
Phone number:
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