Individual
JEREMY J KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1492 W ANTELOPE DR STE 100, LAYTON, UT 84041-1151
(801) 825-8091
(801) 825-8142
Mailing address
1492 W ANTELOPE DR STE 100, LAYTON, UT 84041-1151
(801) 825-8091
(801) 825-8142
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8331010-4201
UT
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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