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Individual

STACIE FARR BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3302 E GIBRALTAR AVE, EAGLE MOUNTAIN, UT 84005-2642
(801) 971-7987
Mailing address
3302 E GIBRALTAR AVE, EAGLE MOUNTAIN, UT 84005-2642
(801) 971-7987

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11701688-4201
UT

Other

Enumeration date
09/04/2018
Last updated
06/30/2021
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