Lon Forsyth, OT
Occupational Therapist in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1366074049
StatusActive
Last updated in NPPESJan 8, 2023
Details
- NPI
- 1366074049
- Entity type
- Individual (NPI-1)
- Name
- Lon Forsyth
- Credential
- OT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2020
- Certification date
- Jan 8, 2023
- Last updated
- Jan 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 11511332-4201 | UT | Yes |
Practice location
1050 E South TempleSalt Lake City, UT 84102-1507
Phone 801-350-4113
Mailing address
1050 E South TempleSalt Lake City, UT 84102-1507
Phone 801-350-4113
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All 429 Occupational Therapist providers in Salt Lake City · All 24,510 providers in Salt Lake City
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