Tara Wilhelmsen MOT,OTR/L

NPI 1285971507 - Occupational Therapist - 225X00000X

NPI Details
NPI 1285971507
Gender Female
Enumeration Date 01/07/2013
Last Updated 01/07/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
324 E 10TH AVE
STE 100
SALT LAKE CITY UT, 84103-2853, US
Phone (801) 408-5735
Fax
Business Location
324 E 10TH AVE
STE 100
SALT LAKE CITY UT, 84103-2853, US
Phone (801) 408-5735
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Utah
License Number 77162774201
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According to our database, Mrs. Tara Wilhelmsen MOT,OTR/L NPI is 1285971507, taxonomy code is 225X00000X and license number is 77162774201, license state is located at Utah. Tara Wilhelmsen MOT,OTR/L physically located at 324 E 10th Ave, Salt Lake City UT, 84103-2853. NPI Number Tara Wilhelmsen MOT,OTR/L has the Individual type.

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1285971507 NPI number is provided on an as is basis without warranty of any kind. 1285971507 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Wilhelmsen MOT,OTR/L are for informational purposes only.