IndividualActive
Aubrey Jenson, COTA
NPI 1861093411 · Occupational Therapy Assistant · Midvale, UT
Provider details
- NPI number
- 1861093411
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8736508-4202 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
358 W Wasatch St
Midvale, UT 84047-7402
Phone: (801) 635-6062
Approximate (ZIP-level) locationGet directions
Mailing address
358 W Wasatch St
Midvale, UT 84047-7402
Registry dates
- Enumerated
- 2020-11-02
- Last updated
- 2020-11-02
- Certified
- 2020-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.