Individual
JACOB RAYMOND BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOTR L
Contact information
Practice address
815 S 200 W, BRIGHAM CITY, UT 84302
(435) 723-5289
(435) 723-0579
Mailing address
828 E 350 S, BRIGHAM CITY, UT 84302
(435) 730-5860
(435) 723-8781
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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