Individual
ELAINE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1952 E 7000 S, SALT LAKE CITY, UT 84121-6877
(801) 495-5227
Mailing address
4114 S 825 W, BOUNTIFUL, UT 84010-8509
(801) 835-4195
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9435677-4201
UT
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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