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Individual
MR. S. BRIAN BENNETT
Active
Individual
MR. S. BRIAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5110123-4201
UT
225X00000X
Occupational Therapist
Primary
51101234201
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51101234201
UTAH STATE LICENSE
UT
Enumeration date
08/01/2006
Last updated
04/30/2026
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