Eliza Mavis Anderson

NPI #1770390684 in Provo, Utah

Provider Information

NPI Number: 1770390684
Entity Type: Individual
Name: Eliza Mavis Anderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Recreation Therapist
Enumeration Date: Dec 13, 2024
Last Updated: Dec 13, 2024

Practice Location

Address: 1001 N 500 W
City: Provo
State: Utah
ZIP Code: 84604-3305
Phone: (801) 377-9661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Recreation Therapist	225800000X	Primary

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