Individual
KELLY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
85 N MEDICAL DR, SALT LAKE CITY, UT 84112-1100
(801) 646-8000
Mailing address
277 I ST, SALT LAKE CITY, UT 84103-3066
(972) 989-3214
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13928935-4201
UT
Other
Enumeration date
04/16/2024
Last updated
03/04/2025
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