Individual
TERRA MARIE SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
280 N MAIN ST, BOUNTIFUL, UT 84010-6136
(833) 577-3422
Mailing address
280 N MAIN ST, BOUNTIFUL, UT 84010-6136
(335) 773-4228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010152
OH
225X00000X
Occupational Therapist
OT101152
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376049924
—
OH
Enumeration date
04/03/2018
Last updated
09/28/2021
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