Individual
JACKIE EINERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 587-3422
Mailing address
1641 E STAKER CIR, SALT LAKE CITY, UT 84121-3613
(208) 520-3216
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10421800-4201
UT
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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