NPI 1124784343 · live from the CMS NPI Registry
Angela Blaser, OTR/L
Occupational Therapist in Provo, UT. National Provider Identifier 1124784343, active.
NPI record
| NPI | 1124784343 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 750 N Freedom Blvd, Provo, UT 84601 |
| Practice phone | 801-373-4760 |
| Enumerated | November 11, 2021 |
| Last updated | April 4, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist primary | 225X00000X | 11291405-4201 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.