Individual
KATHARINE STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
350 S 400 E, SALT LAKE CITY, UT 84111-2908
(801) 946-1860
(801) 582-5540
Mailing address
250 E 200 S STE 1350, SALT LAKE CITY, UT 84111-2003
(801) 587-6336
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7979741-4201
UT
Other
Enumeration date
07/30/2012
Last updated
11/23/2021
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