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NPI Code Detail

MEDICARE: KEVIN VORE MOTR/L

MEDICARE: KEVIN VORE MOTR/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
1225X00000XOccupational Therapist3082910-4201UT

General Provider Information

NPI Number : 1669799599
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN VORE MOTR/L
Provider Business Mailing Address
First Line : 2673 W 2450 N
Second Line :
City : FARR WEST
State : UT
Zip : 84404-8710
Country : US
Telephone Number : 801-686-3027
Fax Number :
Provider Business Practice Location Address
First Line : 524 E 800 N
Second Line :
City : OGDEN
State : UT
Zip : 84404-3600
Country : US
Telephone Number : 801-782-3740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2010
Last Update Date : 05/03/2010

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Directions to “ KEVIN VORE MOTR/L” Practice Location

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