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Contact Information

MICHELLE BRAITHWAITE
1992 W ANTELOPE DR STE 1D
LAYTON, UT84041-4974
 Phone: 801-773-2633
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MICHELLE BRAITHWAITE · (Female)

NPI Number 1023588464
Status Active
Credentials
Entity Individual
Enumeration date 11/28/2018
Last updated 08/02/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 12328548-4201
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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