Individual
JULIA LOUISE HAYWOOD-BREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
280 N MAIN ST, BOUNTIFUL, UT 84010-6136
(801) 292-8665
Mailing address
280 N MAIN ST, BOUNTIFUL, UT 84010-6136
(801) 292-8665
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109645-4201
UT
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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