Individual
BREANNA CAUDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD- OT
Contact information
Practice address
1950 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5500
(314) 703-1816
Mailing address
1950 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5500
(314) 703-1816
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225X00000X
Occupational Therapist
Primary
9383425-4201
UT
Other
Enumeration date
05/22/2008
Last updated
12/20/2021
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