Individual
ANDREW TODD BRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.R
Contact information
Practice address
9660 S 1300 E, SANDY, UT 84094-3762
(801) 501-2153
Mailing address
9660 S 1300 E, SANDY, UT 84094-3762
(801) 501-2153
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
5315919-4201
UT
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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