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NPI Code Detail

MEDICARE: ROBIN AHLSTROM

MEDICARE: ROBIN AHLSTROM
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 Assistant0069491NY
2225X00000XOccupational Therapist9195008-4201UT

General Provider Information

NPI Number : 1336395268
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN AHLSTROM
Provider Business Mailing Address
First Line : 45 E STATE ST
Second Line :
City : FARMINGTON
State : UT
Zip : 84025-2344
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 45 E STATE ST
Second Line :
City : FARMINGTON
State : UT
Zip : 84025-2344
Country : US
Telephone Number : 801-402-5261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2008
Last Update Date : 05/21/2026

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Directions to “ ROBIN AHLSTROM ” Practice Location

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