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Individual

KELLY LYNN ENSIGN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR

Contact information

Practice address
24 W SERGEANT COURT DR STE 204, SARATOGA SPRINGS, UT 84045-5809
(801) 987-6333
(801) 341-8724
Mailing address
2455 E GLACIER VIEW DR, SANDY, UT 84092-4430
(385) 315-0190

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
225XP0200X
Pediatric Occupational Therapist

Other

Enumeration date
11/16/2020
Last updated
04/14/2022
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