TAVIN DERU

BRIGHAM CITY, UT
NPI1790281418
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: UT  10429475-4201)
Enumeration Date2018-04-02
Last Update Date2021-10-24
Business Address
TAVIN DERU
775 N 200 E
BRIGHAM CITY, UT 84302-1303
Phone number: 435-723-7777
Mailing Address
TAVIN DERU
206 N 2100 W
SALT LAKE CITY, UT 84116-4740
Phone number:
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