Individual
AUBRIANNE SQUIRE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
421 S WAKARA WAY STE 201, SALT LAKE CITY, UT 84108
(801) 585-6837
Mailing address
540 S ARAPEEN DR STE 200, SALT LAKE CITY, UT 84108-1216
(801) 585-6837
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
9819526-4201
UT
Other
Enumeration date
09/14/2016
Last updated
12/06/2021
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