Lisa Forsyth, | |
11201 S Ropemaker Rd, South Jordan, UT 84095-5111 | |
(801) 792-0653 | |
Not Available |
Full Name | Lisa Forsyth |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 11201 S Ropemaker Rd, South Jordan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760223937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 11658650-4201 (Utah) | Primary |
Provider Name | David L Wetzel Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1790212777 PECOS PAC ID: 6204184849 Enrollment ID: O20180730002599 |
Mailing Address | Practice Location Address |
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Lisa Forsyth, 11201 S Ropemaker Rd, South Jordan, UT 84095-5111 Ph: () - | Lisa Forsyth, 11201 S Ropemaker Rd, South Jordan, UT 84095-5111 Ph: (801) 792-0653 |
Jocelyn Young-hyman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10569 S River Heights Dr, South Jordan, UT 84095 Phone: 385-274-2000 | |
Allyson Gilmore, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 10376 S Jordan Gtwy, South Jordan, UT 84095 Phone: 801-619-3670 | |
Legacy Healthcare Services Inc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 10569 S River Heights Dr, South Jordan, UT 84095 Phone: 855-239-3467 |