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Individual

EMILY R PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
3845 W 4700 S, TAYLORSVILLE, UT 84118-3454
(801) 840-4371
(801) 840-4399
Mailing address
2166 KENSINGTON AVE, SALT LAKE CITY, UT 84108-2308
(801) 699-6198
(801) 840-4399

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6240484-4201
UT

Other

Enumeration date
08/28/2008
Last updated
08/28/2008
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