Individual provider · Type 1 NPI

Elise Rose Lichtenberg Peterson, MSOTR/L

Occupational Therapist · Salt Lake City, UT

NPI number 1194277749 Active

Practice location

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Call (801) 662-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X10143483-4201 (UT)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1194277749

Elise Rose Lichtenberg Peterson, MSOTR/L's National Provider Identifier is 1194277749, issued on Oct 31, 2016. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Mar 24, 2020.