Individual
BRENT DEAN LANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13279117-4201
UT
251B00000X
Case Management Agency
13279117-4201
UT
Other
Enumeration date
02/13/2014
Last updated
12/02/2025
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