Individual
MR. BRIAN ADAM GIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
527 W 400 N, OREM, UT 84057-1916
(801) 714-3505
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(801) 314-5220
(801) 314-5221
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
59303064201
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D6147
—
UT
Enumeration date
10/10/2006
Last updated
12/19/2024
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