Individual
ANDREW KALT NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
121 W TABERNACLE ST, ST GEORGE, UT 84770-3338
(435) 673-3553
Mailing address
3960 BELLA VISTA DR, SANTA CLARA, UT 84765-5684
(801) 900-6886
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11565326-4201
UT
225XP0200X
Pediatric Occupational Therapist
11565326-4201
UT
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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