Organization
OT INNOVATIONS, LLC
Active
Other names
Ability Innovations
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS K SIDWELL OTR/L (PRESIDENT)
(801) 618-7903
Entity
Organization
Contact information
Practice address
365 W 1550 N STE H, LAYTON, UT 84041-2279
(801) 618-7903
(844) 384-5169
Mailing address
471 CREEKSIDE WAY, KAYSVILLE, UT 84037-3140
(801) 618-7903
(844) 384-5169
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/16/2017
Last updated
03/10/2020
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