TIMOTHY D GROTEGUT

PROVO, UT
NPI1700806247
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: UT  1108474102)
Enumeration Date2006-07-20
Last Update Date2007-07-08
Business Address
Mr. TIMOTHY D GROTEGUT MS CCC SLP
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-373-7850
Mailing Address
Mr. TIMOTHY D GROTEGUT MS CCC SLP
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number: 801-357-7475
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