Individual
DREW GOERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
50 N MEDICAL DRIVE, SOM ROOM #1R73, SALT LAKE CITY, UT 84132
(801) 585-2119
Mailing address
1452 S 875 W, WOODS CROSS, UT 84087
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9713740-4201
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
354958
NBCOT NUMBER
—
Enumeration date
04/29/2016
Last updated
12/10/2021
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