Individual
NICOLE NAGATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
90 ALBION VILLAGE WAY, SANDY, UT 84070-4013
(801) 619-3670
(801) 619-3679
Mailing address
4717 SUMMERWOOD DR, BOUNTIFUL, UT 84010-5899
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6719389-4201
UT
225XP0200X
Pediatric Occupational Therapist
6719389-4201
UT
Other
Enumeration date
03/15/2018
Last updated
02/19/2020
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