Individual
LISA FORSYTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11201 S ROPEMAKER RD, SOUTH JORDAN, UT 84095-5111
(801) 792-0653
Mailing address
11201 S ROPEMAKER RD, SOUTH JORDAN, UT 84095-5111
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11658650-4201
UT
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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