Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 361730-4201 | UT |
NPI | 1073663902 |
---|---|
Provider Name | Miss Lindey Dawn Workman |
First Address | Salt Lake City, UT 84115-1941 |
Second Address | Slc, UT 84132-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 29/11/2021 |