Individual
MR. S. BRIAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5110123-4201
UT
225X00000X
Occupational Therapist
Primary
51101234201
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51101234201
UTAH STATE LICENSE
UT
Enumeration date
08/01/2006
Last updated
04/30/2026
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