S. BRIAN BENNETT

PROVO, UT
NPI1164439691
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: UT  51101234201)
Enumeration Date2006-08-01
Last Update Date2007-07-08
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 30180
SALT LAKE CITY, UT 84130-0180
Phone number: 801-357-7475
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