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NPI Code Detail

MEDICARE: KATELYN SAUNDERS COTA/L

MEDICARE:   KATELYN  SAUNDERS  COTA/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant

General Provider Information

NPI Number : 1558071472
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN SAUNDERS COTA/L
Provider Business Mailing Address
First Line : 2470 E LAMBOURNE AVE
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84109-2744
Country : US
Telephone Number : 801-440-6783
Fax Number :
Provider Business Practice Location Address
First Line : 575 CUTLER DR
Second Line :
City : NORTH SALT LAKE
State : UT
Zip : 84054-2953
Country : US
Telephone Number : 801-936-0318
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2022
Last Update Date : 12/01/2022

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Directions to “ KATELYN SAUNDERS COTA/L” Practice Location

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