Individual
JORDAN BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
209 W 300 N, LOGAN, UT 84321-3809
(435) 716-8535
Mailing address
209 W 300 N, LOGAN, UT 84321-3809
(435) 716-8535
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10392638-4201
UT
Other
Enumeration date
05/31/2017
Last updated
06/13/2023
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