Individual
BROOKE LYNN TAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-5000
Mailing address
4703 W 7630 S, WEST JORDAN, UT 84084-5557
(385) 646-8896
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7708831-4202
UT
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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