SANDRA L MOSS

PROVO, UT
NPI1780849323
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: UT  280066-4202)
Enumeration Date2008-07-23
Last Update Date2008-07-23
Business Address
-- SANDRA L MOSS OT
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7450
Mailing Address
-- SANDRA L MOSS OT
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number: