Individual
MRS. TARA WILHELMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT,OTR/L
Contact information
Practice address
324 E 10TH AVE, STE 100, SALT LAKE CITY, UT 84103-2853
(801) 408-5735
Mailing address
324 E 10TH AVE, STE 100, SALT LAKE CITY, UT 84103-2853
(801) 408-5735
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
77162774201
UT
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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