Individual
BENJAMIN DEHAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2775
(801) 387-7667
Mailing address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2775
(801) 387-7667
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100208-4201
UT
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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