Individual
JESSICA ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
50 N MEDICAL DR, SLC, UT 84132-0001
(801) 587-3422
Mailing address
4193 W 2475 S, OGDEN, UT 84401-9808
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
12/06/2021
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