| Craig Poulsen, OT | |
|
1992 W Antelope Dr Ste 1d, Layton, UT 84041-4974 | |
| (801) 773-2633 | |
| (801) 773-1553 |
| Full Name | Craig Poulsen |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist - Ergonomics |
| Location | 1992 W Antelope Dr Ste 1d, Layton, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326821794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XE1200X | Occupational Therapist - Ergonomics | 13629145-4201 (Utah) | Primary |
| Provider Name | Summit Hand Therapy Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1477239820 PECOS PAC ID: 3971966680 Enrollment ID: O20230901000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig Poulsen, OT 1992 W Antelope Dr Ste 1d, Layton, UT 84041-4974 Ph: (801) 773-2633 | Craig Poulsen, OT 1992 W Antelope Dr Ste 1d, Layton, UT 84041-4974 Ph: (801) 773-2633 |
Ashton Polachek, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 365 W 1550 N Ste H, Layton, UT 84041 Phone: 801-618-7903 | |
Summit Hand Therapy Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2179 N 1700 W, Suite 5, Layton, UT 84041 Phone: 801-773-2633 Fax: 801-773-1553 | |
Michelle Braithwaite, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1992 W Antelope Dr Ste 1d, Layton, UT 84041 Phone: 801-773-2633 | |
Lindsey Michelle Ward, OTR/L, CFPS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1205 N Fairfield Rd, Layton, UT 84041 Phone: 801-876-1611 | |
Dr. Brian David Jensen, OTD,OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1992 W Antelope Dr Ste 1d, Layton, UT 84041 Phone: 801-773-2633 | |
Aarone Moroni Cefalo, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 365 W 1550 N Ste H, Layton, UT 84041 Phone: 801-618-7903 | |
Brian Taylor Woodbury, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 Phone: 801-618-7903 |