Individual
KRISTI ELLEFSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6807 PINE ROCK CIR, SALT LAKE CITY, UT 84121-3405
(801) 259-0732
Mailing address
6807 PINE ROCK CIR, SALT LAKE CITY, UT 84121-3405
(801) 259-0732
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
4738858-4202
UT
224Z00000X
Occupational Therapy Assistant
Primary
OC 60038172
WA
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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