Individual
JESSICA MARIE ROESTENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3741 W 12600 S, RIVERTON, UT 84065
(801) 285-4000
Mailing address
3741 W 12600 S, RIVERTON, UT 84065-7215
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11202028-4201
UT
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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