# SALT LAKE OCCUPATIONAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124700406
- **Authorized official:** LAUREN C ANNEN MS, OTR/L (FOUNDER, OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (858) 444-7580

## Contact information

- **Practice address:** 2870 S CONNOR ST, SALT LAKE CITY, UT 84109-1932
- **Practice address phone:** (858) 444-7580
- **Mailing address:** 5358 S TRUNK BAY CIR, SALT LAKE CITY, UT 84107-6319
- **Mailing address phone:** (858) 444-7580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2023
- **Last updated:** 08/04/2023