Individual
BRENT B. BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
345 W 600 S, STE #200, HEBER CITY, UT 84032-2247
(435) 654-2131
Mailing address
1816 S 45 W, OREM, UT 84058-7458
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5319511-4201
UT
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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