Individual
MICHELLE BRAITHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1992 W ANTELOPE DR STE 1D, LAYTON, UT 84041-4974
(801) 773-2633
Mailing address
1992 W ANTELOPE DR STE 1D, LAYTON, UT 84041-4974
(801) 866-9766
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
Primary
12328548-4201
UT
Other
Enumeration date
11/28/2018
Last updated
08/02/2021
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