Individual
BROOKLYN KAYE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2250 N MILLER CAMPUS DR, LEHI, UT 84043-7233
(833) 577-3422
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
137523844201
UT
Other
Enumeration date
01/25/2024
Last updated
11/04/2024
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