Individual
JENNIFER NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2225 W SOUTHERN AVE, MESA, AZ 85202-4716
(623) 888-3502
Mailing address
1603 E WILSON AVE, SALT LAKE CITY, UT 84105-3832
(208) 530-0196
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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