| NPI | 1497532618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA ANN DURRANT Co Owner 801-885-2158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |