Eric Mathew Nielson OTRL

NPI 1063586634 - Occupational Therapist - 225X00000X

NPI Details
NPI 1063586634
Gender Male
Enumeration Date 11/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6246 SO REDWOOD RD
AVALON BENNION CARE CENTER
SLC UT, 84123, US
Phone (801) 955-0690
Fax (801) 955-2540
Business Location
6246 SO REDWOOD RD
AVALON BENNION CARE CENTER
SLC UT, 84123, US
Phone (801) 955-0690
Fax (801) 955-2540
Toxanomy
Taxonomy Code 225X00000X
License State Utah
License Number 3481244201
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According to our database, Eric Mathew Nielson OTRL NPI is 1063586634, taxonomy code is 225X00000X and license number is 3481244201, license state is located at Utah. Eric Mathew Nielson OTRL physically located at 6246 So Redwood Rd, Slc UT, 84123. NPI Number Eric Mathew Nielson OTRL has the Individual type.

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1063586634 NPI number is provided on an as is basis without warranty of any kind. 1063586634 is maintained by the National Plan & Provider Enumeration System. The contents of Eric Mathew Nielson OTRL are for informational purposes only.