Dawn Allen

Individual provider Active NPI Occupational Therapy Assistant · Ogden, UT

NPI 1437659042 · NPPES record last updated Feb 20, 2018

Key facts

NPI
1437659042
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
7500948-4202 (UT)
Practice address
1102 N 1200 W
Ogden, UT 84404-3652
Phone
(801) 334-4300
NPI assigned
Feb 20, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7500948-4202UTMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 7500948-4202 UT Yes

Addresses

Primary practice location

1102 N 1200 W
Ogden, UT 84404-3652

Mailing address

206 N 2100 W
Salt Lake City, UT 84116-4740

Other names

  • Dawn Peterson Former name

Other providers in Ogden, UT

All providers in Ogden, UT · Occupational Therapy Assistant in Utah

Sources for this page

Verify at the official NPI Registry.