MADELYN ELLSWORTH, OTD, OTR/L

Occupational Therapist

Active Individual
NPI: 1720407711

Practice Address

50 N MEDICAL DR # 4
Salt Lake City, UT 84132

Phone: (801) 581-2132

Specialties

Specialty Code Primary License
Occupational Therapist - Pediatrics 225XP0200X No -
Occupational Therapist 225X00000X Yes 12902170-4201 (UT)

Frequently Asked Questions

NPI 1720407711 is the National Provider Identifier for MADELYN ELLSWORTH, OTD, OTR/L, a Occupational Therapist provider located in Salt Lake City, UT. This NPI was enumerated on April 8, 2014.
MADELYN ELLSWORTH, OTD, OTR/L practices at 50 N MEDICAL DR # 4, Salt Lake City, UT 84132.

Quick Facts

NPI
1720407711
Type
Individual
Enumerated
Apr 8, 2014
Last Updated
Mar 4, 2024

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