Individual
CRAIG POULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1992 W ANTELOPE DR STE 1D, LAYTON, UT 84041-4974
(801) 773-2633
(801) 773-1553
Mailing address
1992 W ANTELOPE DR STE 1D, LAYTON, UT 84041-4974
(801) 773-2633
(801) 773-1553
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13629145-4201
UT
225XE1200X
Ergonomics Occupational Therapist
Primary
13629145-4201
UT
Other
Enumeration date
08/17/2023
Last updated
02/19/2026
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