Nicole R Bovard
NPI #1174350011 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1174350011
- Entity Type
- Individual
- Name
- Nicole R Bovard
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Recreation Therapist
- Enumeration Date
- Sep 16, 2024
- Last Updated
- Sep 16, 2024
Practice Location
- Address
- 857 E 200 S
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84102-2317
- Phone
- (801) 487-3276
Specialties & Taxonomy Codes
| Specialty |
|---|
| Recreation Therapist |
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