Individual
BRIANNE MICHELLE JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-5000
Mailing address
8371 S MCKENZIE LN, WEST JORDAN, UT 84081-5905
(801) 864-0038
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6267672-4202
UT
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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