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Individual

ADRIANNE ANDERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD OTR/L

Contact information

Practice address
1010 N EMERALD DR, LAYTON, UT 84040-8260
(801) 402-5403
Mailing address
1010 N EMERALD DR, LAYTON, UT 84040-8260

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
4996708-4201
UT
225XP0200X
Pediatric Occupational Therapist
Primary
4996708-4201
UT

Other

Enumeration date
04/22/2008
Last updated
08/18/2023
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