IndividualActive
Dana Nelson, BS, COTA/L
NPI 1114289386 · Occupational Therapy Assistant · Park City, UT
Provider details
- NPI number
- 1114289386
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- BS, COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 057003187 (IL)
Practice location
1640 Redstone Center Dr
Suite #200
Park City, UT 84098-7605
Phone: (435) 645-0788
Fax: (435) 645-0792
Mailing address
1640 Redstone Center Dr
Park City, UT 84098-7605
Registry dates
- Enumerated
- 2012-06-13
- Last updated
- 2012-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.