Individual
MARY KATHRYN PENGELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5151 S 900 E STE 100, SALT LAKE CITY, UT 84117-6658
(801) 747-3702
(801) 262-0453
Mailing address
5151 S 900 E STE 100, SALT LAKE CITY, UT 84117-6658
(801) 747-3702
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13293556-4201
UT
Other
Enumeration date
04/13/2023
Last updated
01/08/2026
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