Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Annette Bergesen

Individual provider Occupational Therapy Assistant · NPI 1508367814

Annette Bergesen is an Occupational Therapy Assistant in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2018.

Licensed in
UT
In the registry since
2018

Practice location Address checks out

2472 S 300 E
Salt Lake City, UT 84115-2895
Phone: (801) 466-2211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 9854061-4202 (UT)

Record details

NPI number1508367814
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 22, 2018
Last updated in NPPESFebruary 22, 2018
Mailing address206 N 2100 W, Salt Lake City, UT 84116-4740

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