Individual
AMY IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
802 E 3RD AVE, SALT LAKE CITY, UT 84103-3825
(206) 225-1825
Mailing address
802 E 3RD AVE, SALT LAKE CITY, UT 84103-3825
(206) 225-1825
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/11/2014
Last updated
12/14/2021
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