Individual
MRS. JESSICA KEELY WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
280 N MAIN ST, BOUNTIFUL, UT 84010-6136
(016) 624-9498
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9819390-4201
UT
283XC2000X
Children's Rehabilitation Hospital
Primary
9819390-4201
UT
Other
Enumeration date
06/15/2016
Last updated
01/29/2026
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