Individual
BRONSON D LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
12350 S 800 E, DRAPER, UT 84020-9712
(801) 998-8428
(801) 407-1611
Mailing address
12350 S 800 E, DRAPER, UT 84020-9712
(801) 998-8428
(801) 407-1611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7249603-4201
UT
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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