Individual
GREG NEILSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
250 W 300 N, ROOSEVELT, UT 84066-2336
(435) 722-6186
Mailing address
250 W 300 N, ROOSEVELT, UT 84066
(435) 722-6186
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8695051-4201
UT
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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