Individual
MARIT OTTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
13937 S SPRAGUE LN STE 100, DRAPER, UT 84020-7864
(385) 308-8034
(801) 206-3433
Mailing address
13937 S SPRAGUE LN STE 100, DRAPER, UT 84020-7864
(385) 308-8034
(801) 206-3433
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
039485
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039485
PHYSICAL THERAPY LICENSE
NY
Enumeration date
12/30/2022
Last updated
12/30/2022
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