Individual
ANDREA GAYLE GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
8614 S HARRISON ST, SANDY, UT 84070-1477
(801) 200-2843
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13800648-4201
UT
225XP0200X
Pediatric Occupational Therapist
13800648-4201
UT
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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