Eric Mathew Nielson, OTRL

NPI #1063586634 in Slc, Utah

Provider Information

NPI Number: 1063586634
Entity Type: Individual
Name: Eric Mathew Nielson, OTRL
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTRL
Enumeration Date: Nov 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6246 SO REDWOOD RD
Address 2: AVALON BENNION CARE CENTER
City: Slc
State: Utah
ZIP Code: 84123
Phone: (801) 955-0690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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