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1699156703
ELAINE PETERSEN
SALT LAKE CITY, UT
NPI
1699156703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 9435677-4201)
Enumeration Date
2015-06-15
Last Update Date
2015-06-15
Business Address
-- ELAINE PETERSEN OTR/L
1952 E 7000 S
SALT LAKE CITY, UT 84121-6877
Phone number: 801-495-5227
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Mailing Address
-- ELAINE PETERSEN OTR/L
4114 S 825 W
BOUNTIFUL, UT 84010-8509
Phone number: 801-835-4195
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