Utah Autism Academy

NPI #1164815999 in Midvale, Utah

Provider Information

NPI Number: 1164815999
Entity Type: Organization
Organization Name: Utah Autism Academy
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 18, 2015
Last Updated: Mar 18, 2015

Practice Location

Address: 7434 S STATE ST
City: Midvale
State: Utah
ZIP Code: 84047-2014
Phone: (801) 456-9955

Authorized Official

Name: TRICIA NELSON
Title: EXECUTIVE DIRECTOR
Phone: (801) 906-1553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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