Individual
MRS. AMY LOUISE BERENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1216 E 1300 S, SALT LAKE CITY, UT 84105-1949
(801) 487-5865
Mailing address
1185 E PRINCETON AVE, SALT LAKE CITY, UT 84105-1911
(801) 583-0530
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
3801694201
UT
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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