GORDON L. HINES

PROVO, UT
NPI1568477057
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: UT  1071174201)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
Mr. GORDON L. HINES OT
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-373-7850
Mailing Address
Mr. GORDON L. HINES OT
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number: 801-357-7475