Individual
CASEY ANDREW GEORGE LIVERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
961 E SOUTH UNION AVE APT 23, MIDVALE, UT 84047-2378
(847) 338-1101
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10540885-4201
UT
Other
Enumeration date
11/15/2017
Last updated
12/14/2021
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