Individual provider · Type 1 NPI

Lacy Petersen

Occupational Therapist · Salt Lake City, UT

NPI number 1669634465 Active

Practice location

1952 E 7000 S
Salt Lake City, UT 84121-6877

Call (801) 942-3311 Map

Fax (801) 495-5303

Mailing address

PO Box 711185
Salt Lake City, UT 84171-1185

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X3646 (AZ)

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 1669634465

Lacy Petersen's National Provider Identifier is 1669634465, issued on Jul 2, 2008. 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 Jul 2, 2008.