LISHA MARIE MORTENSEN

DRAPER, UT
NPI1851045561
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: UT  12667850-4201)
Enumeration Date2022-02-10
Last Update Date2022-02-10
Business Address
LISHA MARIE MORTENSEN
12453 S 265 W STE B
DRAPER, UT 84020-5420
Phone number: 801-443-7775
Mailing Address
LISHA MARIE MORTENSEN
12760 S PARK AVE UNIT 363
RIVERTON, UT 84065-3415
Phone number: 801-443-7775