IndividualActive
Jessica Mortensen, COTA
NPI 1639880602 · Occupational Therapy Assistant · North Salt Lake, UT
Provider details
- NPI number
- 1639880602
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8384965-4202 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
575 Cutler Dr
North Salt Lake, UT 84054-2953
Phone: (801) 936-0318
Approximate (ZIP-level) locationGet directions
Mailing address
575 Cutler Dr
North Salt Lake, UT 84054-2953
Registry dates
- Enumerated
- 2022-12-09
- Last updated
- 2022-12-09
- Certified
- 2022-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.