Individual provider · Type 1 NPI

Jacqlyn Fitzgerald Ottosen, P.T.

Pediatric Physical Therapist · Salt Lake City, UT

NPI number 1598087462 Active

Practice location

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

Call (801) 662-4980 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X1208452401 (UT)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1598087462

Jacqlyn Fitzgerald Ottosen, P.T.'s National Provider Identifier is 1598087462, issued on Feb 19, 2010. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 19, 2010.