NICOLE LEE UTT

BEND, OR
NPI1881122695
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: OR  414946)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2017-05-24
Last Update Date2021-03-10
Business Address
NICOLE LEE UTT
2600 NE NEFF RD
BEND, OR 97701-6337
Phone number: 541-706-6843
Mailing Address
NICOLE LEE UTT
2500 NE NEFF RD
BEND, OR 97701-6015
Phone number: