Individual
NELLIE ALEXANDRA MUSCARELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
90 ALBION VILLAGE WAY, SANDY, UT 84070-4013
(801) 619-3670
(801) 619-3679
Mailing address
8754 S 280 E, SANDY, UT 84070-1606
(801) 560-5504
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056009896
IL
225X00000X
Occupational Therapist
Primary
9583984-4201
UT
Other
Enumeration date
10/04/2012
Last updated
04/13/2020
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