NPI 1407579394 · live from the CMS NPI Registry
Mathew T Burch, OTR/L
Occupational Therapist in American Fork, UT. National Provider Identifier 1407579394, active.
NPI record
| NPI | 1407579394 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 575 N 100 E, American Fork, UT 84003 |
| Practice phone | 801-610-8400 |
| Enumerated | September 26, 2022 |
| Last updated | September 26, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist primary | 225X00000X | 12805842-4201 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.