Provider Demographics
NPI:1457729238
Name:FOLLIS, ELIZABETH ANDERSEN (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ANDERSEN
Last Name:FOLLIS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:LIZ
Other - Middle Name:
Other - Last Name:FOLLIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:UNIVERSITY OF UTAH HEALTH CARE
Mailing Address - Street 2:50 NORTH MEDICAL DRIVE
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84132-0001
Mailing Address - Country:US
Mailing Address - Phone:801-581-2885
Mailing Address - Fax:801-585-6234
Practice Address - Street 1:UNIVERSITY OF UTAH HEALTH CARE
Practice Address - Street 2:50 NORTH MEDICAL DRIVE
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-0001
Practice Address - Country:US
Practice Address - Phone:801-581-2885
Practice Address - Fax:801-585-6234
Is Sole Proprietor?:No
Enumeration Date:2015-09-09
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9434320-4201225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist