Individual
TIFFANEE MATHESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
1353 E 3000 S, SALT LAKE CITY, UT 84106-3443
(435) 841-4486
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
13744731-4201
UT
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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