Individual
AMBER BETENSON MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
PO BOX 510721, SALT LAKE CITY, UT 84151-0721
(801) 587-6872
(801) 587-6675
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7365663-4201
UT
Other
Enumeration date
07/05/2009
Last updated
07/05/2009
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