Individual
ANDRIANA S MITNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
44 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84132-0001
(801) 587-2394
Mailing address
3590 E PALISADE DR, SALT LAKE CITY, UT 84109-2315
(801) 358-7395
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7963826-4201
UT
Other
Enumeration date
12/20/2012
Last updated
05/07/2026
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