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Individual

MR. JEFFREY BRANT BEZZANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OCCUPATIONAL THERAPI

Contact information

Practice address
1481 E 1450 S, CLEARFIELD, UT 84015-1610
(801) 728-4342
(801) 397-4390
Mailing address
1481 E 1450 S, CLEARFIELD, UT 84015-1610
(801) 728-4342
(801) 397-4390

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5116725-4201
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5116725-4201
UT
Enumeration date
10/23/2019
Last updated
10/23/2019
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