NPI 1265709117 · live from the CMS NPI Registry
Anisha Antony, OT
Occupational Therapist in Salt Lake City, UT. National Provider Identifier 1265709117, active.
NPI record
| NPI | 1265709117 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 1952 E 7000 S, Salt Lake City, UT 84121 |
| Practice phone | 801-859-9211 |
| Mailing address | Po Box 711185, Salt Lake City, UT 84171 |
| Enumerated | November 21, 2011 |
| Last updated | May 13, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist primary | 225X00000X | OT60248702 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.