NPI 1467191510

Mira Aliene Bettendorf, COTAL

Practitioner Occupational Therapy Assistant South Salt Lake, UT

Practice location

Address: 2500 S State St, South Salt Lake, UT 84115-3164
Phone: (385) 646-5000

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 10853434-4202 (UT)

Other Occupational Therapy Assistant providers in Utah →

Registry record

NPI: 1467191510
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 May 2022
Record last updated: 27 May 2022

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.