Individual
ANDREA DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1430 E 4500 S, SALT LAKE CITY, UT 84117-4208
(801) 272-8000
Mailing address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9461738-4202
UT
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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