Individual
LON FORSYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1050 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1507
(801) 350-4113
Mailing address
1050 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1507
(801) 350-4113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11511332-4201
UT
Other
Enumeration date
02/10/2020
Last updated
01/08/2023
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