Individual
AMY MARIE NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR
Contact information
Practice address
3924 S ORCHARD DR, NORTH SALT LAKE, UT 84054-3166
(801) 381-5806
Mailing address
3924 S ORCHARD DR, NORTH SALT LAKE, UT 84054-3166
(801) 381-5806
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
572909274201
UT
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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