Individual
BENJAMIN OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
500 EAST 1400 NORTH, LOGAN, UT 84341
(435) 716-1000
Mailing address
500 EAST 1400 NORTH, LOGAN, UT 84341
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9051855-4201
UT
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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