NPI 1508623323 · live from the CMS NPI Registry
Haley Brock
Occupational Therapist in West Haven, UT. National Provider Identifier 1508623323, active.
NPI record
| NPI | 1508623323 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 2639 W 3520 S, West Haven, UT 84401 |
| Practice phone | 801-732-5290 |
| Mailing address | 66 E Dorchester Dr, Salt Lake City, UT 84103 |
| Enumerated | February 28, 2024 |
| Last updated | February 28, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist primary | 225X00000X | 13708203-4201 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.