Individual
DR. BRIAN DAVID JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD,OTR/L
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) 773-2633
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
11355367-4201
UT
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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