TATIANA SUZANNE LARSEN

PROVO, UT
NPI1912718628
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy226000000X Recreational Therapist Assistant
(Licence: UT  141992834003)
Enumeration Date2025-01-14
Last Update Date2025-01-14
Business Address
TATIANA SUZANNE LARSEN TRT
1001 N 500 W
PROVO, UT 84604-3305
Phone number: 801-977-9661
Mailing Address
TATIANA SUZANNE LARSEN TRT
1001 N 500 W
PROVO, UT 84604-3305
Phone number: 801-977-9661