ELISE ROSE LICHTENBERG PETERSON

SALT LAKE CITY, UT
NPI1194277749
Former NameELISE ROSE LICHTENBERG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: UT  10143483-4201)
Enumeration Date2016-10-31
Last Update Date2020-03-24
Business Address
ELISE ROSE LICHTENBERG PETERSON MSOTR/L
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-1000
Mailing Address
ELISE ROSE LICHTENBERG PETERSON MSOTR/L
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number:
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