NPI 1386178564 · live from the CMS NPI Registry
Alissa Bullard, MOT, OTR/L
Occupational Therapist in Salt Lake City, UT. National Provider Identifier 1386178564, active.
NPI record
| NPI | 1386178564 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 50 N Medical Dr, 1r73 Som, Salt Lake City, UT 84132 |
| Practice phone | 801-213-7311 |
| Enumerated | April 14, 2017 |
| Last updated | April 14, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist primary | 225X00000X | 9428385-4201 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.