NPI 1396362513 · live from the CMS NPI Registry
Brieanna Allen, OTR/L
Occupational Therapist in Logan, UT. National Provider Identifier 1396362513, active.
NPI record
| NPI | 1396362513 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 209 W 300 N, Logan, UT 84321 |
| Practice phone | 435-716-8535 |
| Mailing address | 6161 S Eagle Nest Dr, Murray, UT 84123 |
| Enumerated | July 3, 2020 |
| Last updated | December 3, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist primary | 225X00000X | 11795138-4201 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.