Individual
AMANDA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5171 S COTTONWOOD ST, LOWER LEVEL 2 WOMEN'S CENTER COORDINATED REHAB SERVICES, MURRAY, UT 84107-5704
(801) 507-7000
Mailing address
3676 W EVENING SKY LN, SOUTH JORDAN, UT 84009-3105
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
3460604201
UT
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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