Individual
BRENDA BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
365 W 1550 N # N, LAYTON, UT 84041-6888
(801) 618-7903
Mailing address
301 N MAIN ST TRLR 234, LAYTON, UT 84041-2249
(801) 721-7632
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12575764-4201
UT
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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