Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 271546-4201 | UT |
Y | 225XR0403X | Driving and Community Mobility | 271546-4201 | UT |
NPI | 1174108658 |
---|---|
Provider Name | Linda S Hartney |
First Address | Riverton, UT 84065-4385 |
Second Address | Salt Lake City, UT 84148-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2021 |
Last Update Date | 16/03/2021 |