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Contact Information

JESSICA K WAHL, OT
280 N MAIN ST
BOUNTIFUL, UT84010-6136
 Phone: 016-624-9498
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Children

283XC2000X
Indicates primary specialty

NPI Profile & details for JESSICA K WAHL · (Female)

NPI # 1093165599
Status Active
Credentials OT (Occupational Therapist)
Entity Individual
Enumeration date 06/15/2016
Last updated 01/29/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • UT License # 9819390-4201
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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