S. BRIAN BENNETT

PROVO, UT
NPI1164439691
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: UT  5110123-4201)
Enumeration Date2006-08-01
Last Update Date2026-04-30
Business Address
Mr. S. BRIAN BENNETT OT
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7475
Mailing Address
Mr. S. BRIAN BENNETT OT
PO BOX 25537
SALT LAKE CITY, UT 84125-0537
Phone number: 801-357-1250