NPI 1275035305

Jessica Green

Practitioner Occupational Therapy Assistant Salt Lake City, UT

Practice location

Address: 6246 S Redwood Rd, Salt Lake City, UT 84123-6600
Phone: (801) 969-1420
Mailing address: 206 N 2100 W, Salt Lake City, UT 84116-4740

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 8711016-4202 (UT)

Other Occupational Therapy Assistant providers in Utah →

Registry record

NPI: 1275035305
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 2018
Record last updated: 5 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.